Liza Lumarie Matos-Lago, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

16649 Issued in PR

Practice address

J9 Parq de la Luz
Bairoa Park
Caguas, PR 00727-1217

Phone

(787) 384-5723

NPI assigned

Oct 11, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health Foundation of Puerto Rico, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bayamon, PR
  • NPI 1114626991
  NPD
• Community Health Foundation of Puerto Rico, Inc.

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1881016020

  General Practice

  NPD
• Cooperativa de Facultad Medica Sanacoop

  • Health Service Clinic/Center
  • Bayamon, PR
  • NPI 1942638655
  NPD

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1124117072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J9 PARQ DE LA LUZ",
            "address_2": "BAIROA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271217",
            "telephone_number": "787-384-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J9 PARQ DE LA LUZ",
            "address_2": "BAIROA PARK",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007271217",
            "telephone_number": "787-384-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS-LAGO",
        "first_name": "LIZA",
        "middle_name": "LUMARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milagros Masa, PHARMACY TECHNICIAN
• Rafael Mateo-Garcia III, PH.D.
• Camille Mateo, MD
• Dianne L Matos Barreto, PHD
• Nilmarie Matos Fradera, PSICOLOGA
• Alice Matos
• Luz Risex Mangual Matos, SLT
• Willie R Matos, M.D.
• Jorge R Matta Gonzalez, MD
• Marvin Matta Rivera, M.D

• General Practice Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.