Individual provider Active NPI

Lizy Mariel Paniagua Gonzalez, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1427585256
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP100060898 Issued in FL
Practice address
4300 Alton Rd
Miami, FL 33140
Phone
(305) 674-2053
Fax
(305) 674-2057
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10060898 TX
Internal Medicine Physician 207R00000X BP100060898 FL Primary

Addresses

Primary practice location

4300 Alton Rd
Miami, FL 33140

Mailing address

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2053

Other practice location 1

301 University Blvd
Galveston, TX 77555-1167
Phone (409) 772-7063

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20230828002425 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 8426411273 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Academic and Clinical Infectious Diseases PAGroup PAC ID 8729005962, 3 clinicians
Midway Specialty Care Center IncGroup PAC ID 9638306087, 30 clinicians

Practice addresses (Care Compare)

4308 Alton Rd
Suite 860
Miami Beach, FL 33140-4558
Phone (305) 674-2766

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP100060898FLMDInternal Medicine Physician
BP10060898TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Academic & Clinical Infectious Diseases PA CurrentSince Sep 11, 2023 Accepting new patients
Midway Specialty Care Center Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

356 E Midway Rd
Fort Pierce, FL 34982
Phone (772) 464-9746

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4308 Alton Rd
Ste 860
Miami Beach, FL 33140
Phone (305) 604-2888

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1427585256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331402948",
            "telephone_number": "305-674-2053",
            "fax_number": "305-674-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ALTON RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-674-2053",
            "fax_number": "305-674-2057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 University Blvd",
            "address_purpose": "LOCATION",
            "city": "Galveston",
            "state": "TX",
            "postal_code": "775551167",
            "country_code": "US",
            "telephone_number": "409-772-7063",
            "fax_number": "409-747-8579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANIAGUA GONZALEZ",
        "first_name": "LIZY",
        "middle_name": "MARIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10060898",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "BP100060898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.