Individual
LUIS ALEXIS ROMAN LIZASOAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
40 CALLE 2, SAN JUAN, PR 00926-5917
(787) 579-6685
Mailing address
40 CALLE 2, PASEO ALTO, SAN JUAN, PR 00926-5917
(787) 579-6685
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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