Healthcare Provider Details

I. General information

NPI: 1861304016
Provider Name (Legal Business Name): LIZ MEDICAL BILLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB VILLA DEL CARMEN CALLE TETUAN 2619 URB VILLA DEL CARMEN CALLE TETUAN 2619
PONCE PR
00716
US

IV. Provider business mailing address

PO BOX 7935
PONCE PR
00732-7935
US

V. Phone/Fax

Practice location:
  • Phone: 939-430-2129
  • Fax:
Mailing address:
  • Phone: 939-430-2129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: BRENDA AYALA
Title or Position: CEO
Credential:
Phone: 939-430-2129