Liuska Mariscal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME95687 Issued in FL

Practice address

12991 SW 112TH St
Miami, FL 33186-4769

Phone

(786) 703-8174

Fax

(786) 703-8190

NPI assigned

Jan 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• L. Mariscal, M.D., PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1073924981
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1083769384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12991 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864769",
            "telephone_number": "786-703-8174",
            "fax_number": "786-703-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12991 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864769",
            "telephone_number": "786-703-8174",
            "fax_number": "786-703-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCAL",
        "first_name": "LIUSKA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME95687",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073924981",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mario R Villoch MD Group LLC
• Mario Regional Medical Center Inc
• Mario S. Cuervo MD PA
• Mariposa Pharmacy & Discount Inc
• Mariposas Therapy Services LLC
• Marisel Medina DPM PA
• Marisela Gonzalez M.D.P.a.
• Marisol Alf Corp
• Yumara Maristan
• Anais Maristany, D.C.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.