Lissette Cid Medina, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11018658 Issued in FL

Practice address

6100 Blue Lagoon Dr Ste 365
Miami, FL 33126-7010

Phone

(786) 322-7333

Fax

(786) 347-5022

NPI assigned

Mar 23, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Care Behavioral Management IncGroup PAC ID 8325398563, 5 clinicians

Og Rehabilitation Center, CorpGroup PAC ID 6406358449, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Life Care Behavioral Management Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1013397298
  Medicare reassignment Care Compare group NPD
• Og Rehabilitation Center Corp

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1255149233
  Medicare reassignment Care Compare group NPD
• Access Medical Group of Miami, LLC.

  dba Community Medical Group

  • Family Medicine Physician
  • Miami, FL
  • NPI 1619259264
  Medicare reassignment NPD
• Living Care Therapy Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1326695289
  Medicare reassignment NPD
• Multi Health Community Center Inc

  • General Practice Physician
  • Coral Gables, FL
  • NPI 1386243822
  Medicare reassignment NPD
• Lcid Medical Services LLC

  • Adult Mental Health Clinic/Center
  • Homestead, FL
  • NPI 1194656868
  NPD Authorized official
• Mas Vida Medical Center Corp

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1992561492
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1043969215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17085 SW 292ND ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330302569",
            "telephone_number": "786-252-7091",
            "fax_number": "786-347-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 BLUE LAGOON DR STE 365",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331267010",
            "telephone_number": "786-322-7333",
            "fax_number": "786-347-5022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19100 SW 106th Ave Unit 12",
            "address_purpose": "LOCATION",
            "city": "Cutler Bay",
            "state": "FL",
            "postal_code": "331577643",
            "country_code": "US",
            "telephone_number": "786-360-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17085 SW 292nd St",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330302569",
            "country_code": "US",
            "telephone_number": "645-246-6166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CID MEDINA",
        "first_name": "LISSETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11018658",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11018658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Marie Cicone, D.O.
• Gabriela Cid Caraballoso
• Maria Lidice Cid de Renta
• Roxana Cid Fernandez
• Dariel Cid Gonzalez
• Martha Claudia Cid Perez
• Cid Therapies LLC
• Felix Cid
• Jessica Marie Cid, M.S., SLP-CFY
• Melissa Cid

• Family Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.