Provider Demographics
NPI:1982669677
Name:VAZQUEZ COBIAN, LIZA B (MD)
Entity Type:Individual
Prefix:
First Name:LIZA
Middle Name:B
Last Name:VAZQUEZ COBIAN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PMB 211
Mailing Address - Street 2:352 AVE. SAN CLAUDIO
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-4126
Mailing Address - Country:US
Mailing Address - Phone:787-726-1113
Mailing Address - Fax:787-771-7996
Practice Address - Street 1:252 CALLE CONVENTO
Practice Address - Street 2:
Practice Address - City:SANTURCE
Practice Address - State:PR
Practice Address - Zip Code:00912-3207
Practice Address - Country:US
Practice Address - Phone:787-726-1113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-18
Last Update Date:2020-12-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PR159002080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology