Individual
DR. JOMARIE RIVERA IRIZARRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
109 CALLE FERNANDEZ GARCIA, LOCAL B, LUQUILLO, PR 00773-2323
(787) 719-4036
(787) 719-4037
Mailing address
148 CAMINO DEL VALLE, LUQUILLO, PR 00773-2543
(787) 719-4036
(787) 719-4037
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
14978
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14978
PR LICENSE
PR
01
—
ACN 568
FLORIDA LICENSE
FL
Enumeration date
09/08/2005
Last updated
03/07/2023
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