IndividualActive
Pedro Irizarry Plaza
NPI 1932952504 · Ambulatory Care Registered Nurse · Portage, MI
Provider details
- NPI number
- 1932952504
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 4704364517 (MI)
Specialties & taxonomies
Nursing Service Providers
Practice location
2600 W Centre Ave
Portage, MI 49024-4828
Phone: (269) 324-4141
Approximate (ZIP-level) locationGet directions
Mailing address
2600 W Centre Ave
Portage, MI 49024-4828
Registry dates
- Enumerated
- 2024-04-11
- Last updated
- 2024-04-11
- Certified
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.