DR. LISSETTE DE LA RUA D.D.S
NPI 1619297892
Dentist - General Practice in Miami, FL

Q: What is Lissette De La Rua's NPI number?

The NPI number for Lissette De La Rua is 1619297892. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Q: What is Lissette De La Rua's specialty?

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

Active since June 10, 2010PECOS Enrolled

13715 SW 66TH ST, APT A102, MIAMI, FL 33183(305) 502-9775 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Lissette De La Rua D.d.s NPPES

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

DR. LISSETTE DE LA RUA D.D.S (NPI 1619297892) is an individual general practice provider in Miami, Florida, licensed in Florida (DN 19020) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619297892

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. LISSETTE DE LA RUACredential: D.D.S

Location Address13715 SW 66TH ST, APT A102Miami, FL 33183-2289

Mailing Address13715 Sw 66th St, Apt A102Miami, FL 33183-2289 · (305) 502-9775

Phone(305) 502-9775

Sole ProprietorNo

Enumeration DateJune 10, 2010

✔ NPI 1619297892 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 · DN 19020

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.

13715 SW 66TH ST, Miami, FL 33183

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 De La Rua D.d.s 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33183 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 De La Rua's NPI number?

The NPI number for Lissette De La Rua is 1619297892. It was assigned to this individual provider in the NPPES registry on June 10, 2010.

Where is Lissette De La Rua located?

Lissette De La Rua practices at 13715 SW 66th St Apt A102, Miami, FL 33183. The listed phone number is (305) 502-9775.

What is Lissette De La Rua's specialty?

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

Is Lissette De La Rua enrolled in Medicare?

Yes. Lissette De La Rua is registered in the Medicare PECOS enrollment system.

What insurance does Lissette De La Rua accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental and 6 other insurers list Lissette De La Rua 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 Lissette De La Rua was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.