Individual
HOMMY R LIZARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
STREET 872 #34 RIO PLANTATION, BAYAMON, PR 00961
(787) 605-8104
Mailing address
STREET 872 #34 RIO PLANTATION, BAYAMON, PR 00961
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15502
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22848LI
TRIPLE SSS
PR
01
—
AS92
FIRST MEDICAL
PR
Enumeration date
11/08/2006
Last updated
07/09/2007
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