Individual
LIZANELL IRIZARRY SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CALLE SARGENTO GERARDO SANTIAGO CARR 14, AIBONITO, PR 00705
(787) 714-2462
Mailing address
PO BOX 3592, CAROLINA, PR 00984-3592
(787) 632-2417
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21297
PR
208D00000X
General Practice Physician
21297
PR
390200000X
Student in an Organized Health Care Education/Training Program
33736-R
PR
Other
Enumeration date
03/29/2016
Last updated
05/07/2024
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