NPI 1093226995

Advanced Anti Aging LLC

Organisation Obstetrics & Gynecology Physician San Juan, PR

Practice location

Address: 29 Washington Street Ashford Medical Center Suite 310, San Juan, PR 00907
Phone: (787) 400-9779
Mailing address: 3307 Isla Verde Ave., Surfside Mansions APT 1105, Carolina, PR 00979

Authorised official

Name: Jose L Lizardi
Title: Doctor
Phone: (315) 244-1396

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X

Other Obstetrics & Gynecology providers in Puerto Rico →

Registry record

NPI: 1093226995
Entity type: Organization
NPI issued: 18 Oct 2017
Record last updated: 18 Oct 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.