Individual provider Active NPI

Segundo Luis Lizardo-Guzman, MD

  • Pediatrics Physician
  • Weslaco, TX
National Provider Identifier
1174634802
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M4302 Issued in TX
Practice address
1010 James St Ste B
Weslaco, TX 78596-6654
Phone
(956) 968-1621
Fax
(956) 447-8626
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X M4302 TX Primary

Addresses

Primary practice location

1010 James St Ste B
Weslaco, TX 78596-6654

Mailing address

1010 James St Ste B
Weslaco, TX 78596-6654
Phone (956) 968-1621

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4302TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Valley Adult & Internal Medicine Specialists PA Pediatrics Past Accepting new patients
Mid Valley Adult Specialists PA PastSince Oct 12, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174634802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JAMES ST STE B",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966654",
            "telephone_number": "956-968-1621",
            "fax_number": "956-447-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JAMES ST STE B",
            "city": "WESLACO",
            "state": "TX",
            "postal_code": "785966654",
            "telephone_number": "956-968-1621",
            "fax_number": "956-447-8626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO-GUZMAN",
        "first_name": "SEGUNDO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M4302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weslaco, TX

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.

Verify at the official NPI Registry.