Most Relevant Information
Provider Data
| NPI Number: | 1003401738 |
| Provider Name: | BRYAN IRIZARRY BS |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/04/2021 |
| Last Updated: | 03/04/2021 |
Provider Practice Location
CENTRO MEDICO SAN JUAN PUERTO RICO BARRIO MONACILLOS
SAN JUAN
PR
009350001
Practice Location Phone/Fax
| Phone: | 7877582525 |
| Fax: |
Provider Mailing Location
PO BOX 365067
SAN JUAN
PR
009365067
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |