Individual ProviderPablo Enrique IrizarryPediatricsAllopathic & Osteopathic PhysiciansPractice Address304 Torre San Pablo, Sta Crzl St, Bayamon, PR 00961-7038(787) 780-3920PECOS EnrollmentBased on the most recent information from CMS, provider Pablo Enrique Irizarry does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:51 AM.Profile DetailsProvider ID1912932179Provider TypeIndividualFull NameIrizarry, Pablo EnriqueTitleMr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date7/12/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address304 Torre San Pablo, Sta Crzl St, Bayamon, PR 00961-7038Phone(787) 780-3920Fax(787) 780-2935Mailing LocationMailing Address304 Torre San Pablo, Sta Crzl St, Bayamon, PR 00961-7038Phone(787) 780-3920Fax(787) 780-2935Provider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense7425Puerto RicoProvider IdentifiersIDDescriptionIssuerID98952DescriptionOtherIssuerSSSPuerto Rico