LIZARDO DENTAL GROUP
NPI 1366306417
Dentist - General Practice in Mayaguez, PR
About Lizardo Dental Group NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIZARDO DENTAL GROUP (NPI 1366306417), doing business as Dr. Gabriel Lizardo, is a healthcare organization registered as a general practice in Mayaguez, Puerto Rico and active in the NPI registry since December 2025. The organization lists Gabriel Luis Lizardo, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lizardo Dental Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Lizardo Dental Group, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lizardo Dental Group's NPI number?
The NPI number for Lizardo Dental Group is 1366306417. It was assigned to this organization in the NPPES registry on December 12, 2025. The provider is doing business as Dr. Gabriel Lizardo and Lizardo Family Dentistry.
Where is Lizardo Dental Group located?
Lizardo Dental Group is located at 2599 Ave. Eugenio Maria De Hostos Km. 151 Suite #2, Mayaguez, PR 00682. The listed phone number is (787) 595-3500.
What is Lizardo Dental Group's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Lizardo Dental Group enrolled in Medicare?
Yes. Lizardo Dental Group is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lizardo Dental Group?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to Lizardo Dental Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lizardo Dental Group was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lizardo Dental Group · NPI 1366306417
General Practice organization in Mayaguez, Puerto Rico. Organization record, active in the CMS NPPES registry since December 12, 2025.
## Identity
- **NPI:** 1366306417 (Entity type: Organization)
- **Enumerated:** December 12, 2025
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **Also known as:** Dr. Gabriel Lizardo (Doing Business As); Lizardo Family Dentistry (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Gabriel Lizardo, PRESIDENT
## Practice location
- **Address:** 2599 AVE. EUGENIO MARIA DE HOSTOS KM. 151, SUITE #2, Mayaguez, PR 00682
- **Phone:** (787) 595-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366306417) · Data from the CMS NPPES public registry.