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Luis Enrique Irizarry Nieves, MD

Student in an Organized Health Care Education/Training Program in San Juan, PR. Individual provider (NPI-1).

NPI number1669925657
StatusActive
Last updated in NPPESApr 22, 2024

Details

NPI
1669925657
Entity type
Individual (NPI-1)
Name
Luis Enrique Irizarry Nieves
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 26, 2016
Certification date
Apr 22, 2024
Last updated
Apr 22, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

10 Calle Casia
San Juan, PR 00921-3200

Phone 787-641-7582

Mailing address

Po Box 250482
Aguadilla, PR 00604-0482

Phone 787-429-5159

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