Active NPI
Carlos A Lizardi
- Physical Therapy Assistant
- San Lorenzo, PR
National Provider Identifier
1164438289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 653
- Practice address
- A21 Calle 3
Jardines de Cerro Gordo
San Lorenzo, PR 00754-4505 - Phone
- (787) 715-1124
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 653 | PR | Primary |
Addresses
Primary practice location
A21 Calle 3
Jardines de Cerro Gordo
San Lorenzo, PR 00754-4505
Mailing address
A21 Calle 3
Jardines de Cerro Gordo
San Lorenzo, PR 00754-4505
Phone (787) 715-1124
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
| License | State | Type | Specialty |
|---|---|---|---|
| 653 | PR | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164438289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "A21 CALLE 3",
"address_2": "JARDINES DE CERRO GORDO",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544505",
"telephone_number": "787-715-1124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "A21 CALLE 3",
"address_2": "JARDINES DE CERRO GORDO",
"city": "SAN LORENZO",
"state": "PR",
"postal_code": "007544505",
"telephone_number": "787-715-1124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIZARDI",
"first_name": "CARLOS",
"middle_name": "A",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PR",
"license": "653",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Lorenzo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.