Provider Demographics
NPI:1942274519
Name:CHABRIER, LIZETTE (MD)
Entity Type:Individual
Prefix:
First Name:LIZETTE
Middle Name:
Last Name:CHABRIER
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:CENTRO INT'L MERCADEO I AVE LOS CAOS CARR 165
Mailing Address - Street 2:SUITE 308
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00968-8052
Mailing Address - Country:US
Mailing Address - Phone:787-620-2300
Mailing Address - Fax:787-620-2302
Practice Address - Street 1:100 CARR 165
Practice Address - Street 2:SUITE 308
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00968-8052
Practice Address - Country:US
Practice Address - Phone:787-620-2300
Practice Address - Fax:787-620-2302
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11283207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR89082Medicare ID - Type Unspecified
PRG58526Medicare UPIN