Active NPI
Lizmarie Matos Rojas
- General Practice Physician
- Fajardo, PR
National Provider Identifier
1497488787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 023402
- Practice address
- 72 Calle Venus
Fajardo, PR 00738-5123 - Phone
- (787) 246-7908
- NPI assigned
- Jul 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 023402 | PR | Primary |
Addresses
Primary practice location
72 Calle Venus
Fajardo, PR 00738-5123
Mailing address
72 Calle Venus
Fajardo, PR 00738-5123
Phone (787) 246-7908
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 023402 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689638400000",
"number": "1497488787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72 CALLE VENUS",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007385123",
"telephone_number": "787-246-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72 CALLE VENUS",
"city": "FAJARDO",
"state": "PR",
"postal_code": "007385123",
"telephone_number": "787-246-7908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATOS ROJAS",
"first_name": "LIZMARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-05",
"last_updated": "2023-07-18",
"certification_date": "2023-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "023402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fajardo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.