RAFAEL L IRIZARRY (NPI# 1922020239) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922020239 |
| Entity Type | Individual |
| Full Name | RAFAEL L IRIZARRY |
| Credential | MD |
| Practice Address |
3599 University Blvd S Building 300 Jacksonville FL 32216-4252 |
| Practice Telephone | 9043995550 |
| Practice Fax Number | 9043464334 |
| Mailing Telephone | 9043995550 |
| Mailing Fax Number | 9043464334 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2017-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME85345 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264700100 | 05 | |
| GA | 00955501A | 05 | |
| FL | BCBS | 17028 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770784753 | Rafael A. Irizarry | Pharmacist | Farmacia Guaniquena #20, Calle 65 De Infanteria Esq San Miguel, Guanica, PR 00653 | 2007-05-29 |
| Street Address |
3599 UNIVERSITY BLVD S BUILDING 300 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568952 | Dawn Nichelle Rosado | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2005-06-14 |
| 1568061158 | Azucena Crosbie | Social Worker | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-10-23 |
| 1033735139 | Kristen Duncan | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-24 |
| 1336763184 | Amanda Ault | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-07 |
| 1699309989 | Christina Brown | Nurse Practitioner | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-02-26 |
| 1396383949 | Abby Maillet | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-12-13 |
| 1760034383 | Lauren Campbell Vann | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-13 |
| 1740842178 | Charmaine Uy | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-06 |
| 1871155317 | Michael Braun | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-05 |
| 1023670775 | Alys Cook | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316596471 | Summerlin Imaging Center LLC | Radiology | 3550 University Blvd S Ste 102, Jacksonville, FL 32216-4227 | 2019-09-10 |
| 1275038671 | William Austin Forshee | Radiology | 655 W 8th St Fl 2, Jacksonville, FL 32209-6511 | 2018-03-27 |
| 1316449267 | F&s Radiology, P.C. | Radiology | 10045 Richton Ct, Jacksonville, FL 32246-1885 | 2018-03-07 |
| 1679025522 | Diagnostic Imaging Partners | Radiology | 2000 Brabham Avenue, Suite 110, Jacksonville, NC 28546 | 2016-10-26 |
| 1689052359 | Coastal Vein & Vascular Institute, LLC | Radiology | 7741 Point Meadows Dr, Unit 104-106, Jacksonville, FL 32256-9182 | 2015-05-13 |
| 1316385024 | Matthew Hal Jenson | Radiology | 655 W 8th St # C-90, Jacksonville, FL 32209-6511 | 2013-06-05 |
| 1740557917 | Rmed LLC | Radiology | 4348 Southpoint Blvd., Suite 100c, Jacksonville, FL 32216-0903 | 2011-11-16 |
| 1952618324 | Edgardo Alberto Agrait-bertran | Radiology | 12743 Ellis Island Dr, Jacksonville, FL 32224-8512 | 2010-09-08 |
| 1477788982 | David A Walker Md Pa | Radiology | 8040 Woodpecker Trl, Jacksonville, FL 32256-7333 | 2009-05-28 |
| 1245465343 | Kyle Hayden | Radiology | 1303 Greenridge Rd, Jacksonville, FL 32207-5334 | 2009-05-19 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.