Grecia Margarita Marquez Lizama, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME148870 Issued in FL

Practice address

2232 Grand Ave
Fort Myers, FL 33901-3717

Phone

(239) 344-2330

Fax

(239) 332-4701

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Internal Medicine

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Health Centers of Southwest Florida IncGroup PAC ID 3173432085, 37 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grecia.marquez.lizama.1@18107.direct.athenahealth.com

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.

• Family Health Centers of Southwest Florida Inc

  • Federally Qualified Health Center (FQHC)
  • Fort Myers, FL
  • NPI 1326090390
  Medicare reassignment Care Compare group
• Family Health Centers of Southwest Florida, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cape Coral, FL
  • NPI 1417377813
  NPD

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1689150260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 919771",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328910001",
            "telephone_number": "239-278-3600",
            "fax_number": "239-226-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 GRAND AVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339013717",
            "telephone_number": "239-344-2330",
            "fax_number": "239-332-4701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19701 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Fort Myers",
            "state": "FL",
            "postal_code": "339084818",
            "country_code": "US",
            "telephone_number": "239-314-1600",
            "fax_number": "239-425-6402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUEZ LIZAMA",
        "first_name": "GRECIA",
        "middle_name": "MARGARITA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME148870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110525500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NW553",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Jennifer Markovich, D.O.
• Walter Markowski, CRNA
• Markus Sherry DMD PA
• Euclides Manelik Marmolejos Baez, M.D.
• Sylvia Carolyn Marohn, CRNP
• Erika D Marquez
• Lexine Marquez, MD
• Natalee Marquez, MA
• Enmanuel Marrero Gonzalez, RBT-24-400164
• Darlen Marrero Lamelas, BCBA

• Internal Medicine Physician in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.