Individual provider Active NPI

Lizette Arias, PA-C

  • Physician Assistant
  • Coral Gables, FL
National Provider Identifier
1265028161
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9113761 Issued in FL
Practice address
3850 Bird Rd Ste 402B
Coral Gables, FL 33146-1507
Phone
(305) 667-1511
NPI assigned
Dec 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113761 FL Primary

Addresses

Primary practice location

3850 Bird Rd Ste 402B
Coral Gables, FL 33146-1507

Mailing address

18770 NW 80TH Ave
Hialeah, FL 33015-2745
Phone (786) 281-2022

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5131CTMDSocial Worker
PA9113761FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
QMG7,LLC Past Accepting new patients

Organizations & group practices 1

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": "1607990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1265028161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18770 NW 80TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152745",
            "telephone_number": "786-281-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 BIRD RD STE 402B",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331461507",
            "telephone_number": "305-667-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARIAS",
        "first_name": "LIZETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.