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Individual

DR. AIDA M LIZASOAIN SANTIAGO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1056 CALLE FERROCARRIL, SUITE 1, RIO PIEDRAS, PR 00925-3028
(787) 764-8937
(787) 767-4763
Mailing address
1056 CALLE FERROCARRIL, SUITE 1, RIO PIEDRAS, PR 00925-3028
(787) 764-8937
(787) 767-4763

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
12922
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0012589
HUMANA
PR
01
03220
AMERICAN HEALTH
PR
01
20136
SSS
PR
01
500360E
MMM
PR
01
5884
IMC
PR
Enumeration date
02/05/2007
Last updated
03/03/2011
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