Active NPI 1417918764 Individual Practitioner Male Practitioner

Dr. Vincent Victor Lizama , MD

Radiologic Technologist - Radiography • Tamuning, GU

Professional Overview & Biography Verified Profile Summary

Dr. Vincent Lizama, MD is a certified Radiologic Technologist - Radiography practicing in Tamuning, GU. With approximately 44 years of clinical experience since graduating from University Of Hawaii John A. Burns School Of Medicine in 1982, Dr. Lizama delivers high-quality medical care to the local community at 548 SOUTH MARINE CORPS DRIVE.

Dr. Lizama maintains professional affiliations with Pacific Radiology Inc A Professional Corporation, Takecare Insurance Company Inc, Ybl Pllc and does not directly accept Medicare assignment.

Frequently performed procedures and clinical services include screening mammography, x-ray of chest, 2 views, complete ultrasound scan of 1 breast. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

548 South Marine Corps Drive

Tamuning, GU 96913

Telephone 6716465824

Fax 6716473546

Associated Practice Facility / Clinic

🏢 Takecare Insurance Company, Inc. Facility NPI 1396801775

Medicare Profile & Education

Medical School

University Of Hawaii John A. Burns School Of Medicine

Graduation Year

1982

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiologic Technologist - Radiography in Tamuning, GU

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

44 Yrs Matches City Avg

City Avg: 44.0 Yrs

State Avg: 44.0 Yrs

Regional Practice Density

3 Specialists

Practicing in Tamuning, GU (3 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

13.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lizama (44 Years) 44 Yrs

Tamuning Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	402	402	$61.53	$53.53
71046 X-ray of chest, 2 views	234	226	$28.22	$26.17
76641 Complete ultrasound scan of 1 breast	103	88	$58.99	$46.53
73564 X-ray of knee, 4 or more views	92	79	$25.50	$21.83
73030 X-ray of shoulder, minimum of 2 views	68	59	$16.99	$14.72
77065 Diagnostic mammography of 1 breast	59	57	$52.65	$48.26
76536 Ultrasound of head and neck	53	51	$68.09	$63.03
76700 Ultrasound of abdomen	46	46	$92.91	$85.94
76770 Complete ultrasound scan behind abdominal cavity	42	40	$81.48	$75.27
73562 X-ray of knee, 3 views	38	36	$14.67	$11.54
73630 X-ray of foot, minimum of 3 views	37	31	$28.08	$25.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	37	36	$90.75	$87.38
77066 Diagnostic mammography of both breasts	30	29	$64.36	$57.42
72110 X-ray of lower and sacral spine, minimum of 4 views	27	27	$46.61	$42.13
76705 Limited ultrasound scan of abdomen	25	24	$34.64	$28.84
73502 X-ray of hip, 2-3 views	25	23	$13.25	$11.92
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$11.58	$10.23
73610 X-ray of ankle, minimum of 3 views	24	22	$20.54	$18.66
73130 X-ray of hand, minimum of 3 views	24	19	$21.70	$16.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	23	21	$48.85	$42.34
76706 Ultrasound scan of abdominal aorta	20	20	$29.92	$24.23
76830 Ultrasound pelvis through vagina	19	19	$56.37	$51.93
73620 X-ray of foot, 2 views	19	15	$8.68	$6.97
73110 X-ray of wrist, minimum of 3 views	18	18	$22.93	$20.50
77078 Ct scan for measuring calcium and other minerals in bone	16	16	$158.13	$110.38
72050 X-ray of upper spine, 4 or 5 views	15	15	$40.45	$33.97
71045 X-ray of chest, 1 view	14	14	$12.06	$10.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
77067 Screening mammography	281	281	$66.09	$61.36
71046 X-ray of chest, 2 views	230	212	$25.55	$24.46
76641 Complete ultrasound scan of 1 breast	95	88	$43.21	$39.50
73564 X-ray of knee, 4 or more views	90	66	$28.67	$26.98
77065 Diagnostic mammography of 1 breast	64	63	$53.57	$49.74
76700 Ultrasound of abdomen	62	61	$93.82	$88.08
73030 X-ray of shoulder, minimum of 2 views	59	58	$18.51	$17.71
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	49	49	$214.10	$210.51
73630 X-ray of foot, minimum of 3 views	47	40	$20.48	$19.78
76536 Ultrasound of head and neck	42	41	$74.35	$72.06
76770 Complete ultrasound scan behind abdominal cavity	41	41	$71.74	$68.75
72110 X-ray of lower and sacral spine, minimum of 4 views	38	38	$49.34	$47.26
73130 X-ray of hand, minimum of 3 views	32	26	$16.03	$15.26
73562 X-ray of knee, 3 views	29	22	$9.77	$8.89
73502 X-ray of hip, 2-3 views	27	25	$17.62	$16.63
76705 Limited ultrasound scan of abdomen	25	25	$34.31	$29.49
73610 X-ray of ankle, minimum of 3 views	24	23	$20.98	$20.24
76706 Ultrasound scan of abdominal aorta	24	24	$31.86	$25.05
72100 X-ray of lower and sacral spine, 2-3 views	23	23	$11.58	$10.51
73560 X-ray of knee, 1-2 views	22	19	$8.67	$7.86
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	20	$121.81	$115.33
77066 Diagnostic mammography of both breasts	19	19	$70.69	$66.33
73110 X-ray of wrist, minimum of 3 views	19	13	$18.73	$17.97
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	19	$45.90	$42.32
71250 Ct scan of chest without contrast	18	17	$150.15	$147.88
76830 Ultrasound pelvis through vagina	18	18	$55.23	$48.90
72050 X-ray of upper spine, 4 or 5 views	14	14	$43.08	$42.03
73521 X-ray of both hips, 2 views	11	11	$34.65	$32.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	1,400	14	$0.81	$0.79
77067 Screening mammography	271	271	$59.50	$56.40
71046 X-ray of chest, 2 views	175	153	$21.07	$20.45
76641 Complete ultrasound scan of 1 breast	103	81	$53.75	$48.59
73564 X-ray of knee, 4 or more views	66	45	$29.64	$28.60
77065 Diagnostic mammography of 1 breast	63	61	$53.03	$49.98
76700 Ultrasound of abdomen	50	49	$76.66	$66.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	48	48	$229.71	$224.24
73130 X-ray of hand, minimum of 3 views	45	29	$15.62	$15.03
73630 X-ray of foot, minimum of 3 views	41	31	$18.46	$17.92
73030 X-ray of shoulder, minimum of 2 views	40	36	$14.97	$14.40
76770 Complete ultrasound scan behind abdominal cavity	36	35	$73.95	$70.81
72110 X-ray of lower and sacral spine, minimum of 4 views	33	33	$43.60	$41.72
73502 X-ray of hip, 2-3 views	29	24	$14.51	$13.79
76536 Ultrasound of head and neck	28	27	$72.50	$70.94
73562 X-ray of knee, 3 views	23	19	$13.02	$12.37
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	22	21	$27.68	$26.31
73610 X-ray of ankle, minimum of 3 views	21	18	$12.20	$11.60
73110 X-ray of wrist, minimum of 3 views	18	13	$17.49	$16.94
76706 Ultrasound scan of abdominal aorta	17	17	$28.30	$26.07
76705 Limited ultrasound scan of abdomen	16	16	$48.47	$39.28
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$13.86	$13.13
76830 Ultrasound pelvis through vagina	13	11	$54.15	$39.06
77066 Diagnostic mammography of both breasts	12	11	$74.50	$66.87
93970 Ultrasound study of arm or leg veins with compression and maneuvers	11	11	$101.74	$95.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	3,401	34	$0.88	$0.82
77067 Screening mammography	328	328	$70.51	$68.79
71046 X-ray of chest, 2 views	196	185	$23.99	$23.52
76641 Complete ultrasound scan of 1 breast	154	99	$58.73	$56.74
73630 X-ray of foot, minimum of 3 views	76	59	$20.27	$19.46
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	75	75	$229.92	$229.78
76700 Ultrasound of abdomen	71	68	$95.16	$93.28
73564 X-ray of knee, 4 or more views	70	54	$26.07	$25.71
73562 X-ray of knee, 3 views	65	40	$30.21	$29.99
77065 Diagnostic mammography of 1 breast	60	59	$53.44	$51.41
73030 X-ray of shoulder, minimum of 2 views	54	48	$18.95	$17.44
72110 X-ray of lower and sacral spine, minimum of 4 views	46	46	$44.93	$44.73
76770 Complete ultrasound scan behind abdominal cavity	45	45	$84.10	$82.54
73610 X-ray of ankle, minimum of 3 views	36	26	$20.79	$20.49
73502 X-ray of hip, 2-3 views	36	31	$17.17	$15.51
76536 Ultrasound of head and neck	31	31	$79.34	$78.59
77066 Diagnostic mammography of both breasts	31	31	$69.65	$65.79
73130 X-ray of hand, minimum of 3 views	28	20	$14.27	$13.23
76830 Ultrasound pelvis through vagina	25	25	$48.09	$46.44
76706 Ultrasound scan of abdominal aorta	24	24	$29.65	$26.89
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	21	21	$82.19	$75.49
73110 X-ray of wrist, minimum of 3 views	21	19	$19.58	$19.25
72050 X-ray of upper spine, 4 or 5 views	19	19	$39.98	$37.86
73521 X-ray of both hips, 2 views	18	18	$36.71	$36.55
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$17.58	$17.09
71250 Ct scan of chest without contrast	16	16	$163.74	$157.24
76705 Limited ultrasound scan of abdomen	15	15	$44.69	$43.43
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	13	$60.59	$59.23
72072 X-ray of middle spine, 3 views	12	12	$32.01	$30.11
71100 X-ray of ribs of one side of body, 2 views	12	12	$21.55	$21.11
74019 X-ray of abdomen, 2 views	11	11	$18.15	$14.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	3,845	43	$0.89	$0.81
77067 Screening mammography	425	425	$85.33	$75.65
71046 X-ray of chest, 2 views	413	362	$27.71	$26.98
76641 Complete ultrasound scan of 1 breast	209	133	$69.17	$65.88
73564 X-ray of knee, 4 or more views	139	90	$36.38	$34.96
76700 Ultrasound of abdomen	98	91	$112.05	$110.05
77065 Diagnostic mammography of 1 breast	88	84	$69.43	$59.11
72110 X-ray of lower and sacral spine, minimum of 4 views	78	74	$43.41	$41.61
73630 X-ray of foot, minimum of 3 views	73	51	$24.16	$23.91
73030 X-ray of shoulder, minimum of 2 views	67	59	$20.57	$20.22
76536 Ultrasound of head and neck	54	52	$99.51	$98.63
76770 Complete ultrasound scan behind abdominal cavity	53	52	$91.73	$89.37
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	46	46	$238.50	$232.49
73502 X-ray of hip, 2-3 views	45	37	$15.22	$14.68
77066 Diagnostic mammography of both breasts	40	39	$101.84	$84.94
73130 X-ray of hand, minimum of 3 views	35	28	$21.39	$19.25
72050 X-ray of upper spine, 4 or 5 views	33	33	$36.16	$34.54
73610 X-ray of ankle, minimum of 3 views	31	26	$24.75	$24.46
73562 X-ray of knee, 3 views	30	21	$19.16	$18.78
71250 Ct scan of chest without contrast	29	24	$176.85	$169.99
73110 X-ray of wrist, minimum of 3 views	26	22	$22.56	$22.21
76830 Ultrasound pelvis through vagina	26	22	$58.59	$54.28
71048 X-ray of chest, minimum of 4 views	24	24	$47.37	$47.17
74176 Ct scan of abdomen and pelvis without contrast	22	19	$221.96	$221.15
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	22	22	$52.52	$48.64
76856 Complete ultrasound scan of pelvis	21	19	$104.88	$82.27
74018 X-ray of abdomen, 1 view	17	17	$12.36	$11.92
73521 X-ray of both hips, 2 views	16	16	$38.65	$38.33
74019 X-ray of abdomen, 2 views	16	16	$15.79	$15.34
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$18.09	$17.58
76705 Limited ultrasound scan of abdomen	15	15	$54.69	$53.51
74178 Ct scan of abdomen and pelvis before and after contrast	14	14	$410.58	$407.42
73590 X-ray of lower leg, 2 views	13	12	$15.98	$14.13
77078 Ct scan for measuring calcium and other minerals in bone	11	11	$117.94	$103.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	4,961	54	$0.85	$0.84
71046 X-ray of chest, 2 views	504	439	$24.19	$23.04
77067 Screening mammography	344	344	$110.48	$56.09
76641 Complete ultrasound scan of 1 breast	173	110	$68.40	$64.32
77065 Diagnostic mammography of 1 breast	85	84	$102.11	$51.13
73564 X-ray of knee, 4 or more views	79	58	$28.54	$27.17
76700 Ultrasound of abdomen	78	78	$103.42	$98.03
73030 X-ray of shoulder, minimum of 2 views	69	60	$20.78	$19.73
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	66	65	$238.08	$220.46
76770 Complete ultrasound scan behind abdominal cavity	54	54	$97.83	$91.38
76536 Ultrasound of head and neck	51	47	$93.54	$88.62
72110 X-ray of lower and sacral spine, minimum of 4 views	51	50	$44.51	$41.96
73630 X-ray of foot, minimum of 3 views	49	44	$20.20	$19.29
72100 X-ray of lower and sacral spine, 2-3 views	33	32	$31.16	$29.69
73610 X-ray of ankle, minimum of 3 views	30	19	$19.21	$18.29
73130 X-ray of hand, minimum of 3 views	29	25	$22.12	$21.19
72050 X-ray of upper spine, 4 or 5 views	29	29	$36.41	$34.80
71250 Ct scan of chest without contrast	28	28	$178.35	$162.40
73562 X-ray of knee, 3 views	26	20	$23.02	$21.92
76856 Complete ultrasound scan of pelvis	24	23	$121.15	$89.03
77066 Diagnostic mammography of both breasts	24	24	$130.11	$71.41
71048 X-ray of chest, minimum of 4 views	23	22	$40.68	$36.16
73502 X-ray of hip, 2-3 views	22	19	$16.71	$15.95
74178 Ct scan of abdomen and pelvis before and after contrast	19	19	$397.33	$379.13
76706 Ultrasound scan of abdominal aorta	19	19	$77.32	$26.78
73560 X-ray of knee, 1-2 views	18	13	$18.95	$18.23
76830 Ultrasound pelvis through vagina	18	17	$76.30	$72.28
71270 Ct scan of chest before and after contrast	16	16	$291.92	$210.91
71260 Ct scan of chest with contrast	14	14	$240.22	$210.57
73501 X-ray of hip with pelvis, 1 view	14	14	$32.26	$30.72
73565 X-ray of both knees while standing	14	14	$38.34	$36.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	13	$58.51	$55.47
72070 X-ray of middle spine, 2 views	13	13	$30.06	$28.78
93880 Ultrasound of both sides of head and neck blood flow	13	13	$157.20	$150.21
74019 X-ray of abdomen, 2 views	12	11	$35.32	$13.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	3,400	33	$0.86	$0.82
71046 X-ray of chest, 2 views	408	362	$23.41	$22.36
77067 Screening mammography	271	271	$98.69	$54.12
76641 Complete ultrasound scan of 1 breast	101	70	$91.20	$83.01
73564 X-ray of knee, 4 or more views	91	69	$32.29	$31.10
76700 Ultrasound of abdomen	64	64	$110.90	$107.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	61	60	$239.73	$231.61
73630 X-ray of foot, minimum of 3 views	50	41	$20.17	$18.95
76770 Complete ultrasound scan behind abdominal cavity	50	50	$106.90	$100.33
77065 Diagnostic mammography of 1 breast	49	47	$75.88	$43.37
72110 X-ray of lower and sacral spine, minimum of 4 views	46	46	$43.97	$43.16
73030 X-ray of shoulder, minimum of 2 views	44	42	$19.37	$18.82
76536 Ultrasound of head and neck	40	39	$95.56	$92.50
73562 X-ray of knee, 3 views	33	24	$11.51	$10.28
73130 X-ray of hand, minimum of 3 views	31	26	$15.99	$15.46
76856 Complete ultrasound scan of pelvis	26	26	$117.43	$91.67
76706 Ultrasound scan of abdominal aorta	21	21	$76.95	$26.95
77066 Diagnostic mammography of both breasts	19	19	$108.53	$56.65
76830 Ultrasound pelvis through vagina	18	16	$94.72	$85.46
73110 X-ray of wrist, minimum of 3 views	18	17	$17.69	$17.10
73610 X-ray of ankle, minimum of 3 views	15	12	$17.98	$17.42
73502 X-ray of hip, 2-3 views	14	14	$19.34	$18.59
73560 X-ray of knee, 1-2 views	14	11	$10.75	$10.17
72050 X-ray of upper spine, 4 or 5 views	13	13	$42.76	$41.98
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$412.29	$388.14
74176 Ct scan of abdomen and pelvis without contrast	11	11	$223.14	$220.37
72070 X-ray of middle spine, 2 views	11	11	$28.55	$28.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9965 Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml	4,511	42	$0.96	$0.76
71020 X-ray of chest, 2 views, front and side	409	371	$25.21	$24.21
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	157	157	$61.48	$57.18
76641 Complete ultrasound scan of 1 breast	85	57	$93.57	$89.01
76700 Ultrasound of abdomen	83	79	$132.43	$123.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	83	83	$262.51	$248.55
73564 X-ray of knee, 4 or more views	76	51	$38.30	$37.65
73030 X-ray of shoulder, minimum of 2 views	47	42	$18.64	$15.68
73630 X-ray of foot, minimum of 3 views	42	31	$28.54	$27.61
72110 X-ray of lower and sacral spine, minimum of 4 views	41	41	$53.67	$48.42
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	39	39	$52.06	$48.61
76536 Ultrasound of head and neck	39	38	$109.72	$101.73
76770 Complete ultrasound scan behind abdominal cavity	34	33	$126.77	$114.39
74176 Ct scan of abdomen and pelvis without contrast	24	23	$226.59	$217.50
77078 Ct scan for measuring calcium and other minerals in bone	24	24	$81.91	$80.27
74178 Ct scan of abdomen and pelvis before and after contrast	22	22	$418.04	$386.88
76856 Complete ultrasound scan of pelvis	22	22	$121.28	$90.22
72050 X-ray of upper spine, 4 or 5 views	21	21	$39.01	$36.90
74000 X-ray of abdomen, single view	19	17	$19.39	$18.85
71250 Ct scan of chest without contrast	18	16	$183.60	$180.67
71270 Ct scan of chest before and after contrast	15	14	$383.02	$262.51
71010 X-ray of chest, 1 view, front	15	15	$24.58	$21.01
70450 Ct scan head or brain without contrast	15	15	$130.05	$122.09
93970 Ultrasound study of arm or leg veins with compression and maneuvers	14	14	$212.19	$208.79
73130 X-ray of hand, minimum of 3 views	14	12	$29.18	$28.67
76830 Ultrasound pelvis through vagina	13	12	$88.85	$81.70
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$16.39	$14.90
73610 X-ray of ankle, minimum of 3 views	12	11	$24.59	$24.00
73560 X-ray of knee, 1-2 views	12	11	$12.47	$8.37
73521 X-ray of both hips, 2 views	11	11	$36.72	$35.20

Medical Specialties & State Licenses

Radiologic Technologist - Radiography Primary Specialty

NUCC Taxonomy Code: 2471C3402X

A radiologic technologist who specializes in radiography (also known as x-rays) and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of radiographs, exam techniques, equipment protocols, radiation safety, and patient care.

Hospital & Practice Group Affiliations

Ybl Pllc

643 Chalan San Antonio, Tamuning, GU 969133644

Phone: 6716486390816

Takecare Insurance Company Inc

548 S Marine Corps Dr, Tamuning, GU 969133539

Phone: 6716465825

Pacific Radiology Inc A Professional Corporation

388 Ypao Rd, Tamuning, GU 969133701

Phone: 6716468881

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

28 Associated Practitioners

Dr. James Stadler , MD

Specialist

NPI 1023079738

Doctor of Medicine (M.D.)

Dr. Dennis Antonio Sarmiento , MD

Pediatrics

NPI 1114988821

Doctor of Medicine (M.D.)

Walter Stratton , PA-C

Physician Assistant

NPI 1124089867

Physician Assistant (Certified)

Dr. David Mudd , MD

Radiologic Technologist - Radiography

NPI 1134180409

Doctor of Medicine (M.D.)

Dr. Thomas Rozycki , MD

Specialist

NPI 1134180482

Doctor of Medicine (M.D.)

Dr. Marlene San Nicolas , OD

Optometrist

NPI 1154381515

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 548 SOUTH MARINE CORPS DRIVE, TAMUNING, GU 96913 (Tel: 6716465824)

📍

Updated Business Mailing Address July 08, 2007

Registered at PO BOX 6578, TAMUNING, GU 969316578 (Tel: 6716466956)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as VINCENT LIZAMA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Radiologic Technologist

🟢

Initial NPI Registration & Enumeration March 28, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1417918764

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 28, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6578

Tamuning, GU 969316578

Phone: 6716466956

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