Individual
DR. LUIS M IRIZARRY-PABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
TORRE SAN CRISTOBAL, STE 209, COTO LAUREL, PR 00780
(787) 259-0988
Mailing address
PO BOX 800572, COTO LAUREL, PR 00780-0572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9154
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80675
—
PR
Enumeration date
04/21/2006
Last updated
07/08/2007
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