Provider Demographics
NPI:1124137856
Name:IRIZARRY COLON, MARITZA MARGARITA (MD)
Entity type:Individual
Prefix:DR
First Name:MARITZA
Middle Name:MARGARITA
Last Name:IRIZARRY COLON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 739
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0739
Mailing Address - Country:US
Mailing Address - Phone:787-381-3672
Mailing Address - Fax:
Practice Address - Street 1:2 CALLE ESTRELLA
Practice Address - Street 2:
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683-4020
Practice Address - Country:US
Practice Address - Phone:787-951-9832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15270208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice