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Contact Information

MARTA T IRIZARRY EGIPCIACO, PA
528 AVE CESAR GONZALEZ
ESQ. AVE DOMENECH
SAN JUAN, PR00918
 Phone: 787-248-0398
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MARTA T IRIZARRY EGIPCIACO · (Female)

NPI # 1083495337
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 10/12/2023
Last updated 10/12/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • PR License # 1613-PA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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