Provider Demographics
NPI:1023872116
Name:PIZARRO GONZALEZ, LIZA MARIE (FNP-BC)
Entity type:Individual
Prefix:
First Name:LIZA
Middle Name:MARIE
Last Name:PIZARRO GONZALEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 1886
Mailing Address - Street 2:
Mailing Address - City:MOROVIS
Mailing Address - State:PR
Mailing Address - Zip Code:00687-7832
Mailing Address - Country:US
Mailing Address - Phone:787-675-9906
Mailing Address - Fax:
Practice Address - Street 1:CARR 693 # 24
Practice Address - Street 2:
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-4811
Practice Address - Country:US
Practice Address - Phone:787-665-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4952363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily