Individual
MR. JOSE RENE IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 SE 22ND TER, HOMESTEAD, FL 33033-7233
(305) 308-0531
Mailing address
116 SE 22ND TER, HOMESTEAD, FL 33033-7233
(305) 308-0531
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9270294
FL
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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