Lizardo Dental Group
NPI 1366306417ActiveOrganization· Dentist, General Practice· Mayaguez, PR
Dentist, General Practice in Mayaguez, Puerto Rico, registered in NPPES in December 2025. The authorized official on file is Gabriel Luis Lizardo, DMD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366306417 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 12, 2025 |
| Last updated in NPPES | Dec 12, 2025 |
| Certified by provider | Dec 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (PR) |
|---|
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