Provider Demographics
NPI:1508191487
Name:ANZALOTA DEL TORO, LIZA VERONICA (MD)
Entity type:Individual
Prefix:DR
First Name:LIZA
Middle Name:VERONICA
Last Name:ANZALOTA DEL TORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1353 AVE LUIS VIGOREAUX
Mailing Address - Street 2:PMB 531
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00966-3733
Mailing Address - Country:US
Mailing Address - Phone:787-438-3377
Mailing Address - Fax:
Practice Address - Street 1:9 AVE LAS CUMBRES PR 199 KM 1.3
Practice Address - Street 2:SUITE 14
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00971-4833
Practice Address - Country:US
Practice Address - Phone:787-464-4005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-09
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17773208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice