Physician Compare National (NPI:1487022067)

HEALTHCARE PROVIDER: LISSET MARIA SUAREZ M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1487022067
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7214245323
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20160622002229
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	SUAREZ
	Individual professional last name
Provider First Name	LISSET
	Individual professional first name
Provider Middle Name	MARIA
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1991
	Individual professional's medical school graduation year
Primary Specialty	GENERAL PRACTICE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8316 HANLEY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 1AND2
	Group Practice or individual's line 2 address
City	TAMPA
	Group Practice or individual's city
State	FL
	Group Practice or individual's state
Zip Code	336342284
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y