Most Relevant Information
Provider Data
| NPI Number: | 1003204579 |
| Provider Name: | TAYLISS IRIZARRY |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | 3571 |
Most Important Dates
| Enumeration Date: | 01/06/2015 |
| Last Updated: | 01/06/2015 |
Provider Practice Location
74 ONIX
URB. PEDREGAL
SAN GERMAN
PR
006832529
Practice Location Phone/Fax
| Phone: | 7872104679 |
| Fax: |
Provider Mailing Location
74 ONIX
URBANIZACION PEDREGAL
SAN GERMAN
PR
006832529
Provider Mailing Phone/Fax
| Phone: | 7872104679 |
| Fax: |