Dr. Debra Anne Irizarry
Surgeon Plastic and Reconstructive Surgery
46 Camino Baca Grande Suite #102
Crestone
, Colorado 81131
Dr. Debra Anne Irizarry
Surgeon Plastic and Reconstructive Surgery
46 Camino Baca Grande Suite #102
Crestone
, Colorado 81131
(719) 256-5796
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Debra Anne Irizarry
- Po Box 749
- Crestone, CO
- Zip : 81131-0749
- Fax : (719) 256-5796
- Phone : (719) 256-6600
Second Address
- Dr. Debra Anne Irizarry
- 46 Camino Baca Grande Suite #102
- Crestone, CO
- Zip : 81131
- Fax : (719) 256-5796
- Phone : (719) 256-6600
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 1679111 | NY |
| N | 208600000X | Surgeon | 1679111 | NY |
| N | 208200000X | Surgeon | 46205 | CO |
| N | 208600000X | Surgeon | 46205 | CO |
| N | 208200000X | Surgeon | 9677 | NM |
| N | 208600000X | Surgeon | 9677 | NM |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 46205 | CO |
National Provider Identifier
| NPI | 1063660819 |
|---|---|
| Provider Name | Dr. Debra Anne Irizarry |
| First Address | Crestone, CO 81131-0749 |
| Second Address | Crestone, CO 81131 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/09/2008 |
| Last Update Date | 19/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 72651 | WORKERS COMP (01) | |
| F59113 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.