Lissette Diaz, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA19204 Issued in FL

Practice address

1441 Winter Garden Vineland Rd
Winter Garden, FL 34787-4303

Phone

(407) 904-0135

NPI assigned

Jul 26, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1932872074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 PROSPERITY DR",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873096",
            "telephone_number": "786-282-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WINTER GARDEN VINELAND RD",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347874303",
            "telephone_number": "407-904-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "LISSETTE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA19204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keila Milagros Diaz Rodriguez, MD, MPH
• Stephanie Diaz-Rodriguez
• Miladys Diaz-Vrablik, APN-C, NP-C, DNP
• Dialys Diaz
• Jeanelle Diaz
• Suresh K Didwania, M.D.
• Digesh Chokshi, MD, PA
• John Michael Digney, D.D.S.
• Samantha Dill
• Christina Marie Diluigi, M.S., CCC-SLP

• Speech-Language Pathologist in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2021; 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.