Individual provider Active NPI

Joel Pagan Lizardi

  • General Practice Physician
  • Caguas, PR
National Provider Identifier
1720716558
Registry record updated Nov 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
23614 Issued in PR
Practice address
Calle 28 T--13 Turabo Gardens 2Da Secc
Caguas, PR 00727-5947
Phone
(787) 202-6360
NPI assigned
Aug 10, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23614 PR Primary

Addresses

Primary practice location

Calle 28 T--13 Turabo Gardens 2Da Secc
Caguas, PR 00727-5947

Mailing address

Calle 28 T--13 Turabo Gardens 2Da Secc
Caguas, PR 00727-5947
Phone (787) 202-6360

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
I20240219003776 PR Practitioner - General Practice 8527402411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neomed Center, IncGroup PAC ID 1850284100, 66 clinicians

Practice addresses (Care Compare)

11 Calle Condado
San Lorenzo, PR 00754-4214
Phone (787) 715-1260

Ctro de Med de Fam
11 C Condado
San Lorenzo, PR 00754-4214
Phone (787) 715-3620

PO Box
Suite 1277
Gurabo, PR 00778-1277

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Departamento de Salud Oficial CurrentSince Feb 7, 2024 Accepting new patients
Neomed Center, Inc CurrentSince May 14, 2024 Accepting new patients
Neomed Center, Inc. CurrentSince May 14, 2024 Accepting new patients
Departamento de Salud Oficial CurrentSince Feb 7, 2024 Accepting new patients
Neomed Center, Inc Current Accepting new patients

Locations

11 Calle Condado
San Lorenzo, PR 00754
Phone (787) 715-1260

Organizations & group practices 5

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": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730592000000",
    "number": "1720716558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "CALLE 28 T--13 TURABO GARDENS 2DA SECC",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007275947",
            "telephone_number": "787-202-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE 28 T--13 TURABO GARDENS 2DA SECC",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007275947",
            "telephone_number": "787-202-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGAN LIZARDI",
        "first_name": "JOEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-11-03",
        "certification_date": "2024-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

Verify at the official NPI Registry.