Osvaly Gregorio Lizardo, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23575 Issued in PR

Practice address

Urb. Bello Monte Calle 13 F 21
Guaynabo PR 00969
Guaynabo, PR 00969

Phone

(787) 477-4124

NPI assigned

May 26, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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

Specialty

General Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Espanol Auxilio Mutuo San Pablo Hospital, Bayamon, PR, CCN 400109
• Doctors' Center Hospital San Juan Hospital, Santurce, PR, CCN 400006

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Am Acquisition I, LLC

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1518732700
  Care Compare affiliation
• Doctors Center Hospital San Juan

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • San Juan, PR
  • NPI 1205539558

  Hospital

  Care Compare affiliation
• Doctors Center Hospital San Juan

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1699748236
  Care Compare affiliation

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1265170302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. BELLO MONTE CALLE 13 F 21",
            "address_2": "GUAYNABO PR 00969",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-477-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. BELLO MONTE CALLE 13 F 21",
            "address_2": "GUAYNABO PR 00969",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "00969",
            "telephone_number": "787-477-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO",
        "first_name": "OSVALY",
        "middle_name": "GREGORIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-26",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giasselle A Limery-Nieves
• Lin, P.S.C
• Jose L. Linares Negron, 1079P
• Lisbeth Nutricionista LLC
• Livers Pediatric LLC
• Carla R Llavona-Ramia, M.D.
• LM Behavioral PSC
• Local Medical Services, PSC
• Carmen A Lojo-Vazquez
• Luis Francisco Lojo, M.D.

• General Practice Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.