OrganizationActive
Advanced Anti Aging LLC
NPI 1093226995 · Obstetrics & Gynecology Physician · San Juan, PR
Provider details
- NPI number
- 1093226995
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jose Lizardi, Doctor(315) 244-1396
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29 Washington Street Ashford Medical Center
Suite 310
San Juan, PR 00907
Phone: (787) 400-9779
Mailing address
3307 Isla Verde Ave., Surfside Mansions
Carolina, PR 00979
Registry dates
- Enumerated
- 2017-10-18
- Last updated
- 2017-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.