Active NPI
Lizette Marie Altieri-Nazario, M.D.
- Internal Medicine Physician
- San Antonio, TX
National Provider Identifier
1699015073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J4690
- Practice address
- 14500 San Pedro Ave
Suite 203
San Antonio, TX 78232 - Phone
- (210) 495-4397
- Fax
- (210) 496-1286
- NPI assigned
- Feb 22, 2013
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J4690 | TX | Primary |
Addresses
Primary practice location
14500 San Pedro Ave
Suite 203
San Antonio, TX 78232
Mailing address
14500 San Pedro Ave, Suite 200
White Pearl Medical Spa
San Antonio, TX 78232
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J4690 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361491200000",
"number": "1699015073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14500 SAN PEDRO AVE, SUITE 200",
"address_2": "WHITE PEARL MEDICAL SPA",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14500 SAN PEDRO AVE",
"address_2": "SUITE 203",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78232",
"telephone_number": "210-495-4397",
"fax_number": "210-496-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALTIERI-NAZARIO",
"first_name": "LIZETTE",
"middle_name": "MARIE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-22",
"last_updated": "2013-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J4690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.