Provider Demographics
NPI:1164698825
Name:ROBLES IRIZARRY, LIZBETH (MD)
Entity Type:Individual
Prefix:DR
First Name:LIZBETH
Middle Name:
Last Name:ROBLES IRIZARRY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1589
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1589
Mailing Address - Country:US
Mailing Address - Phone:787-966-7500
Mailing Address - Fax:787-966-7505
Practice Address - Street 1:2 CALLE 1 ESQUINA 3B MARGINAL
Practice Address - Street 2:SUITE G1, URB. HERMANAS DAVILA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-966-7500
Practice Address - Fax:787-966-7505
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR184132084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology