Individual
LISANDRA CORDERO NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
PR 505 KM 1.0 URB GLENVIEW GARDENS, GLENVIEW GARDENS SHOPPING CENTER LOCAL #4, PONCE, PR 00731
(787) 812-3153
Mailing address
P O BOX 102, MERCEDITA, PR 00715
(787) 812-3153
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
19375
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19375
LIC
PR
Enumeration date
11/15/2012
Last updated
10/07/2016
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