Provider Demographics
NPI:1316974868
Name:SAN MIGUEL-MONTES, LIZA E (PSY D)
Entity type:Individual
Prefix:MRS
First Name:LIZA
Middle Name:E
Last Name:SAN MIGUEL-MONTES
Suffix:
Gender:F
Credentials:PSY D
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:URB MANSIONES DE VILLANOVA
Mailing Address - Street 2:#E1-16 CALLE C
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:787-415-5872
Mailing Address - Fax:
Practice Address - Street 1:URB MANSIONES DE VILLANOVA
Practice Address - Street 2:#E1-16 CALLE C
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-415-5872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2598103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical