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General NPI Number Information
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NPI Number | 1336017185
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Entity Type | Individual
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Provider Name | LIZA LOPEZ COLON
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Gender | Female
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Dates
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Enumeration Date | 10/24/2025
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | CARR 3 ESQUINA CARR 186 KM 26.9 SEGUNDA PLANTA BO JIMENEZ
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City | RIO GRANDE
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State | PR
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Zip | 00745-0000
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Country | US
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Telephone | 787-550-5349
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Fax |
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Provider Business Mailing Address
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Address Line | R955 CALLE 18 URB AULTURAS DE RIO GRANDE
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City | RIO GRANDE
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State | PR
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Zip | 00745-0000
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1095
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License Number State | PR
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