Hommy R Lizardi, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15502 Issued in PR

Practice address

Street 872 #34 Rio Plantation
Bayamon, PR 00961

Phone

(787) 605-8104

NPI assigned

Nov 8, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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 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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CDT GMSP IncGroup PAC ID 1355317751, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CDT GMSP Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1417922972
  Medicare reassignment Care Compare group NPD
• Centro de Medicina Integral de Manati Inc

  • Federal Public Health Clinic/Center
  • Manati, PR
  • NPI 1720174014
  Medicare reassignment NPD
• Medicos Selectos del Norte Inc

  • General Practice Physician
  • Vega Alta, PR
  • NPI 1932327665
  Medicare reassignment NPD
• CDT G.M,S.P., Inc

  dba Medicina Primaria CDT GMSP

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1255187159

  General Practice

  NPD
• CDT GMSP, Inc

  • Federally Qualified Health Center (FQHC)
  • Bayamon, PR
  • NPI 1790750529
  NPD
• CSM Servicios de Cuidado Inc.

  • Primary Care Clinic/Center
  • Toa Baja, PR
  • NPI 1639367154
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1740359009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STREET 872 #34 RIO PLANTATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "STREET 872 #34 RIO PLANTATION",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-605-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDI",
        "first_name": "HOMMY",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST MEDICAL",
            "identifier": "AS92",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE SSS",
            "identifier": "22848LI",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valeria Maria Linera-Asencio, DMD
• Liv Med
• Live Movement Chiropractic & Wellness Clinic PSC
• Livindi, Inc
• Living Grace Chiropractic
• Ivan Jose Llado Gonzalez, MD
• Jose Ricardo Llado-Diaz, M.D.
• Liana Isabel Llado
• Manuel Alejandro Llavona Rodriguez
• Janisse Margarita Llop, DMD

• General Practice Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.