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DR. LISSETTE DIAZ OLMEDA MD
NPI 1194379750
General Practice in Arroyo, PR

Active since July 31, 2019PECOS Enrolled
306 CALLE CARIBE URB. ARROYO DEL MAR, ARROYO, PR 00714(787) 362-8981 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 3, 2020, Jul 31, 2019 (2 updates tracked since 2019).

About Dr. Lissette Diaz Olmeda Md NPPES

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

DR. LISSETTE DIAZ OLMEDA MD (NPI 1194379750) is an individual general practice provider in Arroyo, Puerto Rico, licensed in Puerto Rico (21506) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Arroyo.

NPPES Registry Identity

NPI1194379750
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. LISSETTE DIAZ OLMEDACredential: MD
Location Address306 CALLE CARIBE URB. ARROYO DEL MARArroyo, PR 00714-3057
Mailing Address306 Calle Caribe Urb. Arroyo Del MarArroyo, PR 00714-3057 · (787) 362-8981
Phone(787) 362-8981
Sole ProprietorYes
Enumeration DateJuly 31, 2019
Last NPPES UpdateApril 3, 20202 updates tracked since enumeration
NPPES CertifiedApril 3, 2020
✔ NPI 1194379750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in PR · 21506
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Practice Location 1

Location 1306 Calle Caribe Urb. Arroyo del MarArroyo, PR 00714-3057 · Phone (787) 362-8981

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lissette Diaz Olmeda Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Lissette Diaz Olmeda's NPI number?

The NPI number for Lissette Diaz Olmeda is 1194379750. It was assigned to this individual provider in the NPPES registry on July 31, 2019.

Where is Lissette Diaz Olmeda located?

Lissette Diaz Olmeda practices at 306 Calle Caribe Urb. Arroyo Del Mar, Arroyo, PR 00714. The listed phone number is (787) 362-8981.

What is Lissette Diaz Olmeda's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Lissette Diaz Olmeda enrolled in Medicare?

Yes. Lissette Diaz Olmeda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lissette Diaz Olmeda was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.