Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUAN IRIZARRI SANTOS
Active Sole ProprietorJUAN IRIZARRI SANTOS is a Van Provider healthcare provider located in BRENTWOOD, New York. NPI 1629858782 is currently active in the NPPES registry. Verify at CMS.
Van Provider · BRENTWOOD, NY
Registration Details
- NPI Number
- 1629858782
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2023 (2.8859121980059 yrs)
- Last Updated
- Oct 4, 2023
- License
-
250107710 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
200 TIMBERLINE DRBRENTWOOD, NY, 117176813Browse NY providers · Browse ZIP 11717
- Phone
- 6314567907
- Primary Specialty
-
Van Provider
344600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.