Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Manuel Luis Iravedra, DMD, BSPH

Individual provider Pharmacist · NPI 1801941422

Dr. Manuel Luis Iravedra, DMD, BSPH is a Pharmacist in Chinle, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Puerto Rico.

Licensed in
PR
In the registry since
2007
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box PH
Chinle, AZ 86503-8000
Phone: (928) 674-7001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1814 Calle Glasgow, San Juan, PR 00921-4814 — (787) 758-8510

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence D1388 (PR)
Pharmacist Taxonomy 183500000X · Licence 2750 (PR)

Record details

NPI number1801941422
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , BSPH
Sole proprietorYes
NPI enumeratedJanuary 24, 2007
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019

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