Segundo Lizardo M.D.P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SEGUNDO LIZARDO M.D.P.A.

Practice address

208 Starr St
Mercedes, TX 78570-2711

Phone

(956) 514-1643

Fax

(956) 514-2564

NPI assigned

Feb 7, 2011

Organization subpart

No

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

Authorized official

Name

Segundo L Lizardo, MD

Title

President

Phone

(956) 514-1643

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1297036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297036800000",
    "number": "1477859627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 STARR ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702711",
            "telephone_number": "956-514-1643",
            "fax_number": "956-514-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 STARR ST",
            "city": "MERCEDES",
            "state": "TX",
            "postal_code": "785702711",
            "telephone_number": "956-514-1643",
            "fax_number": "956-514-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGUNDO LIZARDO M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-07",
        "last_updated": "2011-02-07",
        "status": "A",
        "authorized_official_last_name": "LIZARDO",
        "authorized_official_first_name": "SEGUNDO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "956-514-1643",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2011; 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.