LARISSA DIAZ FAJARDO MD
NPI 1821790577
Internal Medicine in Miami, FL

Q: What is Larissa Diaz Fajardo's NPI number?

The NPI number for Larissa Diaz Fajardo is 1821790577. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Larissa Diaz Fajardo's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since March 20, 2023PECOS Enrolled

11880 BIRD RD STE 101, MIAMI, FL 33175(305) 485-4677 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Mar 20, 2023 (2 updates tracked since 2023).

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About Larissa Diaz Fajardo Md NPPES

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

LARISSA DIAZ FAJARDO MD (NPI 1821790577) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME176094) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1821790577

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameLARISSA DIAZ FAJARDOCredential: MD

Location Address11880 BIRD RD STE 101Miami, FL 33175-3573

Mailing Address11880 Bird Rd Ste 101Miami, FL 33175-3573 · (305) 485-4677

Phone(305) 485-4677

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 20, 2023

Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1821790577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME176094

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

11880 BIRD RD STE 101, Miami, FL 33175

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Larissa Diaz Fajardo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103284641

PECOS Enrollment IDI20251110001294

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 33175 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIELIS ORTIZ MD

Internal Medicine