| Doctor Name: | LISSET MARIA SUAREZ |
| NPI Number: | 1487022067 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D |
| License Number: | 18818 |
| Business Practice Address: | 4543 S Manhattan Ave Suite 102 Tampa, FL - 336112330 |
| Business Phone Number: | 8138372461 |
| Business Fax Number: | |
| Mailing Address: | 11030 Longboat Key Ln, Apt 102 TAMPA |
| State: | FL |
| Postal Code: | 336262755 |
| Phone Number: | 3057104085 |
| Fax Number: | |
| NPI Enumeration Date: | 09/12/2015 |
| NPI Last Update Date: | 09/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 18818 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |