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DR. RAUL LIZASO
NPI 1962556514
Dentist - General Practice in Pembroke Pines, FL

Active since January 22, 2007
20170 PINES BLVD STE 108, PEMBROKE PINES, FL 33029(954) 430-1717(954) 430-3049 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Raul Lizaso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAUL LIZASO (NPI 1962556514) is a healthcare organization registered as a general practice in Pembroke Pines, Florida and active in the NPI registry since January 2007. The organization lists Raul Lizaso, Owner, as its authorized official.

NPPES Registry Identity

NPI1962556514
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePINES FAMILY DENTAL
Location Address20170 PINES BLVD STE 108Pembroke Pines, FL 33029-1202
Mailing Address20170 Pines Blvd Ste 108Pembroke Pines, FL 33029-1202 · (954) 430-1717 · Fax (954) 430-3049
Phone(954) 430-1717
Fax(954) 430-3049
Organization SubpartNo
Authorized OfficialRaul LizasoOwner · (954) 430-1717
Enumeration DateJanuary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1962556514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · DN001496
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
20170 PINES BLVD STE 108, Pembroke Pines, FL 33029
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Other Names 1

Other NameDr. Raul Lizaso

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama.Insurance ›

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 Pines Family Dental's NPI number?

The NPI number for Pines Family Dental is 1962556514. It was assigned to this organization in the NPPES registry on January 22, 2007. The provider is also known as Dr. Raul Lizaso.

Where is Pines Family Dental located?

Pines Family Dental is located at 20170 Pines Blvd Ste 108, Pembroke Pines, FL 33029. The listed phone number is (954) 430-1717.

What is Pines Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pines Family Dental accept?

Health plans from Ambetter Health and Ambetter of Alabama list Pines Family Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pines Family Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.