Individual
MARISELLY MEDINA-IRIZARRY
Active
Individual
MARISELLY MEDINA-IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME93134
FL
207RP1001X
Pulmonary Disease Physician
Primary
ME93134
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
ME93134
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U5089W
MEDICARE
FL
Enumeration date
01/12/2006
Last updated
02/10/2012
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