Provider Demographics
NPI:1467013649
Name:IPARRAGUIRRE, GRACE CAROLINA (MD)
Entity type:Individual
Prefix:DR
First Name:GRACE
Middle Name:CAROLINA
Last Name:IPARRAGUIRRE
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 1:3 VERMELLA WAY APT 3073
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-2633
Mailing Address - Country:US
Mailing Address - Phone:973-356-7395
Mailing Address - Fax:
Practice Address - Street 1:12-35 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-1490
Practice Address - Country:US
Practice Address - Phone:646-809-1750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-27
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12347400207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology