Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | ME143116 | FL |
NPI | 1003346214 |
---|---|
Provider Name | Lizabeth Michelle Perez-Pascual |
First Address | San Juan, PR 00929-0207 |
Second Address | Carolina, PR 00984 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2017 |
Last Update Date | 30/04/2021 |