# FISIO-MED

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497705388
- **Authorized official:** DR. LUIS ANTONIO LIZARDI RPT, DPT, ATRIC (PRESIDENT/TERAPISTA FISICO)
- **Authorized official phone:** (787) 449-6462

## Contact information

- **Practice address:** 135-9 CALLE 401, 4TA EXT. VILLA CAROLINA, CAROLINA, PR 00985-4006
- **Practice address phone:** (787) 449-6462
- **Practice address fax:** (787) 294-9862
- **Mailing address:** 135-9 CALLE 401, VILLA CAROLINA, CAROLINA, PR 00985-4006
- **Mailing address phone:** (787) 449-6462
- **Mailing address fax:** (787) 294-9862

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | PR | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 04/02/2014