Individual provider Active NPI

Lizbeth Alter, MD

  • Family Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1720080898
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
80663 Issued in FL
Practice address
401 Coral Way Ste 103
Coral Gables, FL 33134-4924
Phone
(305) 446-1743
Fax
(305) 446-1744
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 80663 FL Primary

Addresses

Primary practice location

401 Coral Way Ste 103
Coral Gables, FL 33134-4924

Mailing address

PO Box 141703
Coral Gables, FL 33114-1703
Phone (305) 446-1743

Other identifiers 1

IdentifierTypeStateIssuer
268210900MedicaidFL

Other names 1

  • Ms. Lizbeth Mendoza Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040127001056 FL Practitioner - Family Practice 1557264710 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80663FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Jan 8, 2012 Accepting new patients
David Rodriguez MD PA Past Accepting new patients
South Miami Criticare Inc. Past Accepting new patients

Locations

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

5927 SW 70th St
Unit 439031
South Miami, FL 33243
Phone (305) 669-2833

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1720080898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141703",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331141703",
            "telephone_number": "305-446-1743",
            "fax_number": "305-446-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORAL WAY STE 103",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344924",
            "telephone_number": "305-446-1743",
            "fax_number": "305-446-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTER",
        "first_name": "LIZBETH",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "80663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268210900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZBETH",
            "last_name": "MENDOZA",
            "prefix": "MS.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.