Individual provider Active NPI

Lionel E. Lazaro, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan, PR
National Provider Identifier
1679731657
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
22185 Issued in PR
Practice address
1665 Ave Victor M Labiosa Ste 106
San Juan, PR 00926-4149
Phone
(787) 223-9160
NPI assigned
May 27, 2008
Last updated
Jun 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X ME141332 FL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X A155569 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 22185 PR Primary

Addresses

Primary practice location

1665 Ave Victor M Labiosa Ste 106
San Juan, PR 00926-4149

Mailing address

300 Ave la Sierra
Box 187 R-8
San Juan, PR 00926
Phone (787) 223-9160

Other practice location 1

1150 Campo Sano Ave Ste 300
Coral Gables, FL 33146-1174
Phone (786) 268-6200

Other practice location 2

15955 SW 96th St Ste 401
Miami, FL 33196-1273
Phone (786) 467-3430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20210923001740 PR Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5193018695 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1665 Ave VCTR Labiosa
Suite 106
San Juan, PR 00926-4149
Phone (787) 223-9160

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258360NYMDLicensed Practical Nurse
A155569CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lazaro Orthopedics LLC Sports Medicine CurrentSince Sep 13, 2021 Accepting new patients
Miquiropracticopr LLC CurrentSince May 1, 2022 Accepting new patients
Gastro Health, LLC PastSince Aug 1, 2019 Accepting new patients
Baptist Health Medical Group Physicians LLC PastSince Aug 1, 2019 Accepting new patients

Locations

1665 Ave Victor M Labiosa
Ste 106
San Juan, PR 00926
Phone (787) 223-9160

Interoperability endpoints

  • Direct secure messaging: lio18750@cerner.directbaptisthealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1211846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654473600000",
    "number": "1679731657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 AVE LA SIERRA",
            "address_2": "BOX 187 R-8",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-223-9160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 AVE VICTOR M LABIOSA STE 106",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009264149",
            "telephone_number": "787-223-9160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 Campo Sano Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331461174",
            "country_code": "US",
            "telephone_number": "786-268-6200",
            "fax_number": "786-533-9978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15955 SW 96th St Ste 401",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331961273",
            "country_code": "US",
            "telephone_number": "786-467-3430",
            "fax_number": "786-533-9695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAZARO",
        "first_name": "LIONEL",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-27",
        "last_updated": "2022-06-06",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME141332",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A155569",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "PR",
            "license": "22185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.