Individual provider Active NPI

Lilia Dizon-Ladia, MD

  • Internal Medicine Physician
  • Okeechobec, FL
National Provider Identifier
1386678209
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0022705 Issued in FL
Practice address
208 & 210 NE 19TH Dr
Okeechobec, FL 34972-1932
Phone
(863) 763-6431
Fax
(863) 763-2319
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0022705 FL Primary

Addresses

Primary practice location

208 & 210 NE 19TH Dr
Okeechobec, FL 34972-1932

Mailing address

210 NE 19TH Dr
Okeechobee, FL 34972-1932
Phone (863) 763-6431

Other identifiers 3

IdentifierTypeStateIssuer
47027XOtherFLBCBS FLA
069748600MedicaidFL
1386678209OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0022705FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ladia & Ladia MDS PA Internal Medicine Current Accepting new patients
Ladia & Ladia MD's PA Internal Medicine Past Accepting new patients

Locations

208 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

210 NE 19th Dr
Okeechobee, FL 34972
Phone (863) 763-6431

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1386678209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 NE 19TH DR",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-763-6431",
            "fax_number": "863-763-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 & 210 NE 19TH DR",
            "city": "OKEECHOBEC",
            "state": "FL",
            "postal_code": "349721932",
            "telephone_number": "863-763-6431",
            "fax_number": "863-763-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIZON-LADIA",
        "first_name": "LILIA",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "0022705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FLA",
            "identifier": "47027X",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069748600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "1386678209",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.