Audrey Janine Hernandez Irizarry, DO
Student in an Organized Health Care Education/Training Program in Baltimore, MD. Individual provider (NPI-1).
Details
- NPI
- 1194474650
- Entity type
- Individual (NPI-1)
- Name
- Audrey Janine Hernandez Irizarry
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 22, 2022
- Certification date
- Mar 22, 2022
- Last updated
- Mar 22, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MD | Yes |
Practice location
2401 W Belvedere AveBaltimore, MD 21215-5216
Phone 410-601-7639
Mailing address
2401 W Belvedere AveBaltimore, MD 21215-5216
Phone 410-601-7639
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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