Miguel Lizardo, M.D.

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

ME135155 Issued in FL

Practice address

12470 Telecom Dr Ste 300W
Temple Terrace, FL 33637-0904

Phone

(813) 871-8183

Fax

(813) 871-8184

NPI assigned

Jun 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aeger Inpatient Services

  • Internal Medicine Physician
  • Medford, MA
  • NPI 1578596599
  NPD (past)
• Descarte Inpatient Services

  • Internal Medicine Physician
  • Clinton, MA
  • NPI 1326086844
  NPD (past)
• Huxley Inpatient Services

  • Internal Medicine Physician
  • Marlborough, MA
  • NPI 1932141405
  NPD (past)

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1386684967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 HITCHING ST",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335563852",
            "telephone_number": "508-904-7243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12470 TELECOM DR STE 300W",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336370904",
            "telephone_number": "813-871-8183",
            "fax_number": "813-871-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO",
        "first_name": "MIGUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "218399",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "ME135155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2134217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Licari, D.C.
• Lifepath Hospice and Palliative Care Inc (Good Shepherd Hospice)
• Lifepath Hospice, Inc. (LifePath Hospice)
• Julia Marie Lindsey, MS, OTR/L
• Glenn M Little Jr., PA
• Taylor Edward Loeffler, MD
• Jocelyn Elizabeth Lombard
• Valery Elaine Janae Long
• Luke Arthur Lopas, MD
• Paul J Lopes, PT

• Hospice and Palliative Medicine (Internal Medicine) Physician in Temple Terrace, FL
• Providers in Temple Terrace, FL by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.