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General NPI Number Information
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NPI Number | 1316974868
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Entity Type | Individual
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Provider Name | LIZA E. SAN MIGUEL-MONTES PSY. D
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Gender | Female
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Dates
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Enumeration Date | 06/27/2006
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | URB MANSIONES DE VILLANOVA #E1-16 CALLE C
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-415-5872
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Fax |
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Provider Business Mailing Address
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Address Line | URB MANSIONES DE VILLANOVA #E1-16 CALLE C
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-415-5872
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 2598
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 2598
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License Number State | PR
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