Healthcare Provider Details

I. General information

NPI: 1982163770
Provider Name (Legal Business Name): LIZA MILAGROS BIAGGI LND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2019
Last Update Date: 09/17/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CARR 2 KM 173.4
SAN GERMAN PR
00683
US

IV. Provider business mailing address

URB VILLA BLANCA CALLE JADE #20
CAGUAS PR
00725-2068
US

V. Phone/Fax

Practice location:
  • Phone: 787-628-1627
  • Fax: 787-264-7908
Mailing address:
  • Phone: 787-628-1627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number2013
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: