Provider Demographics
NPI:1326151184
Name:ANDUJAR, LIZNETTE (RPT)
Entity Type:Individual
Prefix:MS
First Name:LIZNETTE
Middle Name:
Last Name:ANDUJAR
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HILL PLAZA 2835
Mailing Address - Street 2:CARR 2 KM 113 SECTOR LA CURVA
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-9641
Mailing Address - Country:US
Mailing Address - Phone:787-830-4466
Mailing Address - Fax:939-230-0007
Practice Address - Street 1:URB. JADINEZ METROPOLITANO CALLE MARCONI #970 APT. #1
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-209-4658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1299225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist