MA. LIZA ANN FLORES FAMADOR (MD) – Family Medicine Physician, NPI 1760676548

MA. LIZA ANN FLORES FAMADOR (MD) is a healthcare provider. based in Coventry, Rhode Island. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MT187985 (PA). The NPI Number for MA. LIZA ANN FLORES FAMADOR (MD) is 1760676548

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MA. LIZA ANN FLORES FAMADOR (MD)
NPI
1760676548
Phone
(401) 828-7688
Address
191 MACARTHUR BLVD
Enumeration Date
5 September 2007
Last Update Date
27 July 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4016241400
Graduation Year
2003 (23 years ago)
PAC ID
0648316935
Group Practice PAC ID
0345658316
Professional Enrollment ID
I20090929000573
Address ID
RI028781352TI711XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

406 FAMILY PRACTICE in RI

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Provider Addresses for MA. LIZA ANN FLORES FAMADOR (MD)

  • 191, Macarthur Boulevard, Quidnick, Anthony, Coventry, Kent County, Rhode Island, 02816, United States

    COVENTRY, RI 028167244

    Phone: (401) 828-7688

    Fax: (401) 828-2914

    Type: Location

  • 311, Doric Avenue, Auburn, Cranston, Providence County, Rhode Island, 02910, United States

    CRANSTON, RI 029102903

    Phone: (401) 467-9610

    Fax: (401) 467-9030

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-09-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090929000573IFamily PracticeRITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes156108$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit141141$0
99213Established patient office or other outpatient visit, 20-29 minutes7059$0
G0008Administration of influenza virus vaccine4341$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use3333$0
View full utilization report →

Insurance plans in this area (ZIP 02816)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345658316View full group profile
NameSpecialtyState
Nurse PractitionerRI
Internal MedicineRI
Physician AssistantRI
Physician AssistantRI
Nurse PractitionerRI
Physician AssistantRI
Physician AssistantRI
Family PracticeRI
Nurse PractitionerRI
Nurse PractitionerRI

Reviews

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Frequently asked questions

What federal number belongs to MA. LIZA ANN FLORES FAMADOR (MD)?
The federal identifier for MA. LIZA ANN FLORES FAMADOR (MD) is NPI 1760676548.
Is MA. LIZA ANN FLORES FAMADOR (MD) active in the national directory?
MA. LIZA ANN FLORES FAMADOR (MD)'s public NPI profile is in an active state.
What does MA. LIZA ANN FLORES FAMADOR (MD) treat or focus on?
Patients typically see MA. LIZA ANN FLORES FAMADOR (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MA. LIZA ANN FLORES FAMADOR (MD)?
The page summarizes Coventry, Rhode Island for MA. LIZA ANN FLORES FAMADOR (MD); expand the address list for detail.
Is MA. LIZA ANN FLORES FAMADOR (MD) a real provider?
This page reflects official NPPES data for NPI 1760676548. Always confirm identity and privileges with the practice and licensing boards.

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