Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619297892 Individual Practitioner Female Practitioner

Dr. Lissette De La Rua , DDS

Dentist - General Practice • Miami, FL

Professional Overview & Biography Verified Profile Summary

Dr. Lissette De La Rua, DDS is a registered healthcare professional specializing in Dentist - General Practice in Miami, FL. Practice services are available at 13715 SW 66TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

13715 Sw 66th St
Apt A102

Miami, FL 331832289

Telephone 3055029775

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
530 Specialists

Practicing in Miami, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN 19020

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 10, 2010

NPI status registered as active in NPPES database

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Updated Practice Location June 10, 2010

Registered at 13715 SW 66TH ST, APT A102, MIAMI, FL 331832289 (Tel: 3055029775)

📍
Updated Business Mailing Address June 10, 2010

Registered at 13715 SW 66TH ST, APT A102, MIAMI, FL 331832289 (Tel: 3055029775)

👤
Provider Name / Credentials Updated June 10, 2010

Recorded as LISSETTE DE LA RUA, D.D.S

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2010

Dentist (License #DN 19020 in FL)

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Initial NPI Registration & Enumeration June 10, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619297892
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2010
Last Update: June 10, 2010
Sole Proprietor: No

Mailing Address

13715 Sw 66th St, Apt A102

Miami, FL 331832289

Phone: 3055029775

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.