Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 15978 | PR |
NPI | 1295861284 |
---|---|
Provider Name | Dr. Liza M Hernandez-Gonzalez |
First Address | San Juan, PR 00920-5311 |
Second Address | San Juan, PR 00920-5311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2007 |
Last Update Date | 20/09/2018 |