Provider Demographics
NPI:1457409559
Name:RAMON A. LIZARDI SANTIAGO
Entity Type:Organization
Organization Name:RAMON A. LIZARDI SANTIAGO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:A
Authorized Official - Last Name:LIZARDI SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:787-258-7799
Mailing Address - Street 1:PO BOX 7277
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-7277
Mailing Address - Country:US
Mailing Address - Phone:787-258-7799
Mailing Address - Fax:787-258-7799
Practice Address - Street 1:AVE. GAUTIER BENITEZ
Practice Address - Street 2:URB. VILLA DEL REY 2DA SECCION, # A-7
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-258-7799
Practice Address - Fax:787-258-7799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PRTCAMB-4933416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport