| Doctor Name: | DR. LIZA LUMARIE MATOS-LAGO |
| NPI Number: | 1124117072 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 16649 |
| Business Practice Address: | J9 Parq De La Luz Bairoa Park Caguas, PR - 007271217 |
| Business Phone Number: | 7873845723 |
| Business Fax Number: | |
| Mailing Address: | J9 Parq De La Luz, Bairoa Park CAGUAS |
| State: | PR |
| Postal Code: | 007271217 |
| Phone Number: | 7873845723 |
| Fax Number: | |
| NPI Enumeration Date: | 10/11/2006 |
| NPI Last Update Date: | 01/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 16649 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |