Provider Demographics
NPI:1447264353
Name:CURBELO-IRIZARRY, AIXA (MD)
Entity type:Individual
Prefix:DR
First Name:AIXA
Middle Name:
Last Name:CURBELO-IRIZARRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AIXA
Other - Middle Name:
Other - Last Name:CURBELO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:9430 TURKEY LAKE RD STE 108
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32819-8015
Mailing Address - Country:US
Mailing Address - Phone:407-423-1039
Mailing Address - Fax:407-425-2347
Practice Address - Street 1:9430 TURKEY LAKE RD STE 108
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8015
Practice Address - Country:US
Practice Address - Phone:407-423-1039
Practice Address - Fax:407-425-2347
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96068207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME96068OtherMEDICAL LICENSE
LA1421260Medicaid
FL277001601Medicaid
LA1421260Medicaid