Individual provider Active NPI

Lizbeth Sujey Vizcardo Buleje, SA-C

  • Surgical Assistant
  • Coral Springs, FL
National Provider Identifier
1013429604
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
17-597 Issued in FL
Practice address
9000 Royal Palm Blvd Apt 310
Coral Springs, FL 33065-5855
Phone
(954) 696-8864
NPI assigned
Nov 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X 17-597 FL Primary

Addresses

Primary practice location

9000 Royal Palm Blvd Apt 310
Coral Springs, FL 33065-5855

Mailing address

9000 Royal Palm Blvd Apt 310
Coral Springs, FL 33065-5855
Phone (954) 696-8864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17-597FLMDSurgical Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1013429604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 ROYAL PALM BLVD APT 310",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655855",
            "telephone_number": "954-696-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 ROYAL PALM BLVD APT 310",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330655855",
            "telephone_number": "954-696-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCARDO BULEJE",
        "first_name": "LIZBETH",
        "middle_name": "SUJEY",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.