DR. JOSE ENRIQUE IRAZUZTA M.D.
NPI 1902867039
Pediatrics - Pediatric Critical Care Medicine in Jacksonville, FL

Q: What is Jose Irazuzta's NPI number?

The NPI number for Jose Irazuzta is 1902867039. It was assigned to this individual provider in the NPPES registry on March 29, 2006.

Q: What is Jose Irazuzta's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jose Irazuzta was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 29, 2006PECOS Enrolled

800 PRUDENTIAL DR, UFJP PEDIATRIC CRITICAL CARE MEDICINE, JACKSONVILLE, FL 32207(904) 202-8758(904) 306-9884 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jose Enrique Irazuzta M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOSE ENRIQUE IRAZUZTA M.D. (NPI 1902867039) is an individual pediatric critical care medicine provider in Jacksonville, Florida, licensed in Florida (ME92195) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902867039

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameDR. JOSE ENRIQUE IRAZUZTACredential: M.D.

Location Address800 PRUDENTIAL DR, UFJP PEDIATRIC CRITICAL CARE MEDICINEJacksonville, FL 32207-8202

Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008

Phone(904) 202-8758

Fax(904) 306-9884

Sole ProprietorNo

Enumeration DateMarch 29, 2006

Last NPPES UpdateMarch 30, 2010

✔ NPI 1902867039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in FL · ME92195

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License ME92195 (FL)

800 PRUDENTIAL DR, Jacksonville, FL 32207

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Other Identifiers 5

Medicare PIN64130YFL

Medicare PIN64130ZFL

Medicaid2716038-00FL

Medicaid229619568AGA

Medicare UPINE75502FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jose Enrique Irazuzta M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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