Lisette Y. Perez Diaz, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

11652 Issued in PR

Practice address

1510 Ave FD Roosevelt
Mezzanine Suite B
Guaynabo, PR 00968-2602

Phone

(787) 706-4334

Fax

(787) 749-0993

NPI assigned

May 31, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

University of Puerto Rico School of Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Guaynabo Eye and Ear Group, PSCGroup PAC ID 5395964084, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• Guaynabo Eye & Ear Group PSC

  • Ophthalmology Physician
  • Guaynabo, PR
  • NPI 1801215579

  Otolaryngology

  Medicare reassignment Care Compare group NPD
• Recinto de Ciencias Medicas

  • Otolaryngology/Facial Plastic Surgery Physician
  • San Juan, PR
  • NPI 1568565547
  Medicare reassignment NPD
• Recinto de Ciencias Medicas

  • Colon & Rectal Surgery Physician
  • San Juan, PR
  • NPI 1538935051
  NPD
• Guaynabo Eye & Ear Group

  • Medical Specialty Clinic/Center
  • Guaynabo, PR
  • NPI 1366625592
  NPD (past)

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1285637504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1036",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009701036",
            "telephone_number": "787-706-4334",
            "fax_number": "787-749-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 AVE FD ROOSEVELT",
            "address_2": "MEZZANINE SUITE B",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009682602",
            "telephone_number": "787-706-4334",
            "fax_number": "787-749-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ DIAZ",
        "first_name": "LISETTE",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-31",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "11652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Michelle Perez Carrasquillo
• Edwin Perez Colon, 1609P
• Maria C Perez Cordero, DMD
• Natanael F Perez Cordero, MD
• Khitsy Perez Diaz, PSYD
• Ramon Perez Gonzalez, 0688P
• Jose Eugenio Perez Guma, MD
• Jazmin Perez Guzman, 1168P
• Aitza M Perez Lopez, PHARM D
• Carlos Juan Perez Lopez, MD

• Otolaryngology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; 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.