MEDICARE: LIZANDRA RAMOS GONZALEZ MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	208D00000X	General Practice Physician	22448	PR

General Provider Information

NPI Number	:	1952074304
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZANDRA RAMOS GONZALEZ MD

Provider Business Mailing Address
First Line	:	URBANIZACION CAMPO VERDE CALLE 3 C-27
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00961-4480
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	URBANIZACION CAMPO VERDE CALLE 3 C-27
Second Line	:
City	:	BAYAMON
State	:	PR
Zip	:	00961-4480
Country	:	US
Telephone Number	:	787-628-8432
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/30/2021
Last Update Date	:	03/14/2026

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