Active NPI
Florencio T. Lizama
- Specialist
- Tamuning, GU
National Provider Identifier
1255484275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MOOO938
- Legal business name
- FLORENCIO T. LIZAMA
- Practice address
- 177 Chalan Pasaheru Ste C
Tamuning, GU 96913-4161 - Phone
- (671) 647-6201
- Fax
- (671) 649-4507
- NPI assigned
- Jan 21, 2007
- Last updated
- Feb 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pauline Sa Lizama
- Title
- Clinic Manager
- Phone
- (671) 477-4215
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MOOO938 | GU | Primary |
Addresses
Primary practice location
177 Chalan Pasaheru Ste C
Tamuning, GU 96913-4161
Mailing address
PO Box 3431
Hagatna, GU 96932-3431
Phone (671) 477-4215
National Provider Directory
National Provider DirectoryLocations
241 Farenholt Ave
Ste 204
Tamuning, GU 96913
Phone (671) 647-4542
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Oka Tamuning, GU
- NPI 1720284425
-
- Geriatric Medicine (Family Medicine) Physician
- Dededo, GU
- NPI 1952423121
-
- Endocrinology, Diabetes & Metabolism Physician
- Albuquerque, NM
- NPI 1578624631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1203379200000",
"number": "1255484275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3431",
"city": "HAGATNA",
"state": "GU",
"postal_code": "969323431",
"telephone_number": "671-477-4215",
"fax_number": "671-477-4215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "177 CHALAN PASAHERU STE C",
"city": "TAMUNING",
"state": "GU",
"postal_code": "969134161",
"telephone_number": "671-647-6201",
"fax_number": "671-649-4507"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FLORENCIO T. LIZAMA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-21",
"last_updated": "2008-02-19",
"status": "A",
"authorized_official_last_name": "LIZAMA",
"authorized_official_first_name": "PAULINE",
"authorized_official_middle_name": "SA",
"authorized_official_title_or_position": "CLINIC MANAGER",
"authorized_official_telephone_number": "671-477-4215"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GU",
"license": "MOOO938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.