| Doctor Name: | DR. AIDA M LIZASOAIN SANTIAGO |
| NPI Number: | 1003955501 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 12922 |
| Business Practice Address: | 1056 Calle Ferrocarril Suite 1 Rio Piedras, PR - 009253028 |
| Business Phone Number: | 7877648937 |
| Business Fax Number: | 7877674763 |
| Mailing Address: | 1056 Calle Ferrocarril, Suite 1 RIO PIEDRAS |
| State: | PR |
| Postal Code: | 009253028 |
| Phone Number: | 7877648937 |
| Fax Number: | 7877674763 |
| NPI Enumeration Date: | 02/05/2007 |
| NPI Last Update Date: | 03/03/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12922 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |