Gabriel Luis Lizardo Juliao, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

3573 Issued in PR

Practice address

2599 Hostos Plaza Ave. Eugenio Maria de Hostos
Mayaguez, PR 00682

Phone

(787) 595-3500

NPI assigned

Jul 25, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Specialty

Dentist

Education

University of Puerto Rico School of Dentistry, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Lizardo Dental Group

  • General Practice Dentistry
  • Mayaguez, PR
  • NPI 1366306417

  General Practice

  NPD

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753488000000",
    "number": "1861374209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 CALLE PRINCESA",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006827849",
            "telephone_number": "787-595-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2599 HOSTOS PLAZA AVE. EUGENIO MARIA DE HOSTOS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "00682",
            "telephone_number": "787-595-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO JULIAO",
        "first_name": "GABRIEL",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-26",
        "certification_date": "2025-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "3573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Care Medical Solutions
• Life Health Solutions
• Jennifer Lithgow, DMD
• Lizanabell Torres-Medicina Interna CSP
• Lizardo Dental Group
• LK Advance Care LLC
• Itza Yirelle Llaurador
• Santiago Llorens Perez, MD
• Noelys Marie Lopez Ayala, 73868
• Jackeline Lopez Lorenzo, SLP

• Dentist in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2025; 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.