Jose Angel Lizasoain, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

4277 Issued in PR

Practice address

Mayor St 2651
Dr Jose a Lizasogin Office
Ponce, PR 00717-2072

Phone

(787) 840-8383

Fax

(787) 840-1582

NPI assigned

Feb 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1073588349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 336060",
            "address_2": "MAYOR ST 2651",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172072",
            "telephone_number": "787-840-8383",
            "fax_number": "787-840-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAYOR ST 2651",
            "address_2": "DR JOSE A LIZASOGIN OFFICE",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007172072",
            "telephone_number": "787-840-8383",
            "fax_number": "787-840-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZASOAIN",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "4277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alexandra Limardo, MS
• Nahyrka Milagros Linares Alamo
• Raymond Christian Linares Medina
• Isamarie Linton Rodriguez
• Josue Lisboa
• Michelle Lizasuain Martinez, MS
• Natalia Estefania Llaurador Caraballo, DMD
• Astrid Paola Llorens, MPH
• Nannette Esther Llorens, PH.D
• Francisco J. Llull, D.M.D.

• Pediatrics Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Pediatrics Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.