Lizandra M Moctezuma Rodriguez, MD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16487 Issued in PR

Practice address

Alt San Benito Calle Puerta del Cielo Casa 75
Humacao, PR 00791

Phone

(787) 225-7128

NPI assigned

Nov 2, 2023

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1316710239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ALT SAN BENITO CALLE PUERTA DEL CIELO CASA 75",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-225-7128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALT SAN BENITO CALLE PUERTA DEL CIELO CASA 75",
            "city": "HUMACAO",
            "state": "PR",
            "postal_code": "00791",
            "telephone_number": "787-225-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCTEZUMA RODRIGUEZ",
        "first_name": "LIZANDRA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "16487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Millan- Aponte, M.D.
• Dorian Julissa Mills Febo, OTL
• Graciany Miranda, MD.
• Manuel Antonio Miranda
• MM Health Services LLC. - Hope
• Molecula1 LLC
• Marla Y. Molinary-Ruiz, M.D.
• Noel Molini, DMD
• Monroig LLC
• Francisco Monroig, M.D.

• Clinical Social Worker in Humacao, PR
• Providers in Humacao, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.