Individual provider Active NPI

Dorisbel Matos Lizardo, MD

  • General Practice Physician
  • Orlando, FL
National Provider Identifier
1215680459
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1517 Issued in FL
Practice address
810 N Nowell St
Orlando, FL 32808-7539
Phone
(407) 588-8284
Fax
(407) 706-8284
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN1517 FL Primary
General Practice Physician 208D00000X 023132 PR

Addresses

Primary practice location

810 N Nowell St
Orlando, FL 32808-7539

Mailing address

810 N Nowell St
Orlando, FL 32808-7539
Phone (689) 200-9051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20231130002933 FL Practitioner - Family Practice 8224486261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Keiler Heberto Moreno Rivero, P.aGroup PAC ID 6002153145, 14 clinicians
Florida Care Medical Center IncGroup PAC ID 5193183754, 5 clinicians

Practice addresses (Care Compare)

1065 N John Young Pkwy
Kissimmee, FL 34741-4210
Phone (407) 269-8550

2940 Mallory Cir
Suite 202
Celebration, FL 34747-1818
Phone (407) 269-8550

810 N Nowell St
Orlando, FL 32808-7539
Phone (407) 842-8283

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
023132PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keiler Heberto Moreno Rivero, P.a. CurrentSince Oct 29, 2023 Accepting new patients

Locations

1065 N John Young Pkwy
Kissimmee, FL 34741
Phone (407) 269-8550

2940 Mallory Cir
Ste 202
Kissimmee, FL 34747
Phone (407) 269-8550

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEAGBD

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1215680459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "689-200-9051",
            "fax_number": "407-706-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N NOWELL ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328087539",
            "telephone_number": "407-588-8284",
            "fax_number": "407-706-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOS LIZARDO",
        "first_name": "DORISBEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1517",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "023132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.