| Doctor Name: | MRS. NILSA M. VIZCARRONDO |
| NPI Number: | 1154450112 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 5640 |
| Business Practice Address: | Street 5 Rexmanor C# 12 Guayama, PR - 00784 |
| Business Phone Number: | 7878642168 |
| Business Fax Number: | 7878662112 |
| Mailing Address: | Calle 5, Rexmanor C# 12 GUAYAMA |
| State: | PR |
| Postal Code: | 00784 |
| Phone Number: | 7878642168 |
| Fax Number: | 7878662112 |
| NPI Enumeration Date: | 03/05/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 5640 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |