| Doctor Name: | MRS. SANDRA LISBOA |
| NPI Number: | 1942264866 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 7966 |
| Business Practice Address: | Ave. Antonio Barcelo #205 Cayey, PR - 00736 |
| Business Phone Number: | 7879911038 |
| Business Fax Number: | |
| Mailing Address: | Po Box 5378, CAYEY |
| State: | PR |
| Postal Code: | 00737 |
| Phone Number: | 7877382161 |
| Fax Number: | 7872634935 |
| NPI Enumeration Date: | 04/17/2006 |
| NPI Last Update Date: | 05/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 7966 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |