Iris Vicencio-Rasku, NP

NPI 1972044980 · on the registry since 2017

Practice

Address: 150 S Huntington Ave Bldg 9
Jamaica Plain, MA 02130
Phone: (413) 584-4040
Fax: (857) 364-6003
Organisation at this address: Boston Cboc
Boston Va Health Care Network
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 129

Registry record

Primary taxonomy: 363LA2200X
363LA2200X
Also registered as: 363L00000X
363LF0000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts