ADVANCED ANTI AGING LLC (NPI# 1093226995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093226995 |
| Entity Type | Organization |
| Organization Name | ADVANCED ANTI AGING LLC |
| Practice Address |
29 Washington Street Ashford Medical Center Suite 310 San Juan PR 00907 |
| Mailing Address |
3307 Isla Verde Ave., Surfside Mansions Apt 1105 Carolina PR 00979 |
| Practice Telephone | 7874009779 |
| Mailing Telephone | 3152441396 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Authorized Official Name | DR. JOSE L LIZARDI (DOCTOR) |
| Authorized Official Telephone | 3152441396 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | PR | Allopathic & Osteopathic Physicians |
| Street Address |
29 WASHINGTON STREET ASHFORD MEDICAL CENTER SUITE 310 |
| City | SAN JUAN |
| State | PR |
| Zip Code | 00907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194338574 | Pop Health, LLC | Chiropractor | Cond Casa Del Valle, Comercial B, 1450 Ave Ashford, San Juan, PR 00907 | 2020-08-26 |
| 1760091086 | Patrick Anthony Maher | Student in an Organized Health Care Education/Training Program | 1451 Ave Dr. Ashford, San Juan, PR 00907 | 2020-07-23 |
| 1922621283 | Mariana Silva | Clinic/Center | 29 Washigton St Ofice 409, Ashford Medical Center, San Juan, PR 00907 | 2020-05-21 |
| 1295354603 | Jose Javier Moreno | Clinic/Center | 655 Roberto H Todd Ave, Pmb 109, San Juan, PR 00907 | 2020-04-15 |
| 1376182519 | Aps Clinics of Puerto Rico, Inc. | Clinic/Center | Vig Tower, Piso 1, 1225 Ave Ponce De Leon, San Juan, PR 00907 | 2020-01-06 |
| 1154979235 | Teresa Pilar Del Rio | Student in an Organized Health Care Education/Training Program | Calle Villamil 303, Apt 1506, San Juan, PR 00907 | 2019-08-31 |
| 1457906208 | Jose A Pineiro Salgado | Audiologist | San Juan Health Center Bldg, 150 Ave De Diego, San Juan, PR 00907 | 2019-08-08 |
| 1649825456 | Melba I Rivera | Social Worker | Hospital De Psiquiatria Estatal Dr Ramon Fernandez Mari, Calle Maga Bo Monacillos, San Juan, PR 00907 | 2019-08-08 |
| 1346894060 | Hazel Faunde | Social Worker | 605 Calle Condado, Edif San Alberto Suite 611, Santurce, PR 00907 | 2019-07-31 |
| 1134789407 | Alexandra Medina Calderon | Social Worker | Edificio Plaza Del Condado, 62-64 Calle Condado, Condado, PR 00907 | 2019-06-18 |
| Find all providers in zip 00907 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265890 | Dfem LLC | Obstetrics & Gynecology | 525 Ave Fd Roosevelt Ofc 701, San Juan, PR 00918-8056 | 2020-05-06 |
| 1306471487 | Phm Specialty Network LLC | Obstetrics & Gynecology | Calle Alda 1551, Urb. Caribe, San Juan, PR 00926 | 2020-03-09 |
| 1396206686 | Idelvais M Pinero Melendez Obstetrics & Gynecology Psc | Obstetrics & Gynecology | 1051 3 Se St La Riviera, Medical Center Plaza 8, San Juan, PR 00929 | 2019-03-28 |
| 1215450507 | Claudia Del Mar Behn | Obstetrics & Gynecology | Calle Gobernador Pinero, Facultad Medica Hospital Municipal San Juan, San Juan, PR 00921 | 2017-07-19 |
| 1225565435 | Valeria Munoz | Obstetrics & Gynecology | Paseo Dr Jose Celso Barbosa Medical Center, University District Hospital, San Juan, PR 00936 | 2017-05-18 |
| 1215481007 | Castaner & Pou LLC | Obstetrics & Gynecology | 29 Calle Washington Ste 206, Ashford Medical Center, San Juan, PR 00907-1509 | 2016-08-09 |
| 1770934283 | Maria T Carro Jimenez | Obstetrics & Gynecology | 1920 Calle Trinitaria, Urb Santa Maria, San Juan, PR 00927-6614 | 2016-06-27 |
| 1922457811 | Carla Michelle Cirino | Obstetrics & Gynecology | Puerto Rico Medical Center, Bo. Monacillos, San Juan, PR 00917 | 2016-06-10 |
| 1255739785 | Olivero Ob-gyn P.s.c | Obstetrics & Gynecology | 431 Avenida Ponce De Leon Hato Bey, National Plaza Suit 1503, San Juan, PR 00917 | 2014-12-16 |
| 1346641305 | Carlos Jose Olivares Almanzar | Obstetrics & Gynecology | 29 Calle Washington Ste 207, San Juan, PR 00907-1509 | 2014-09-09 |
| Find all providers in SAN JUAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.