Provider Demographics
NPI:1699375501
Name:LEMUS DELIZ, CHRISTOPHER BRUCE (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BRUCE
Last Name:LEMUS DELIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 CALLE ARIES
Mailing Address - Street 2:
Mailing Address - City:ISABELA
Mailing Address - State:PR
Mailing Address - Zip Code:00662-3521
Mailing Address - Country:US
Mailing Address - Phone:787-225-2938
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA 129, AVENIDA SAN LUIS
Practice Address - Street 2:KM. 1.0
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00613
Practice Address - Country:US
Practice Address - Phone:787-650-7272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-29
Last Update Date:2021-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22098208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice