Active NPI
Lizzette C Pabon, MD
- General Practice Physician
- Salinas, PR
National Provider Identifier
1730380593
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Sep 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23559
- Practice address
- Urb. Las Mercedes Calle 12 Num 21
Salinas, PR 00751 - Phone
- (787) 298-1711
- NPI assigned
- May 30, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23559 | PR | Primary |
Addresses
Primary practice location
Urb. Las Mercedes Calle 12 Num 21
Salinas, PR 00751
Mailing address
Calle Gladiola D11
Urb Green Hills
Guayama, PR 00784
Phone (787) 864-5253
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23559 | PR | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1730380593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE GLADIOLA D11",
"address_2": "URB GREEN HILLS",
"city": "GUAYAMA",
"state": "PR",
"postal_code": "00784",
"telephone_number": "787-864-5253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "URB. LAS MERCEDES CALLE 12 NUM 21",
"city": "SALINAS",
"state": "PR",
"postal_code": "00751",
"telephone_number": "787-298-1711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PABON",
"first_name": "LIZZETTE",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2024-01-10",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salinas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.