Individual provider Active NPI

Lisset Maria Suarez, M.D

  • General Practice Physician
  • Tampa, FL
National Provider Identifier
1487022067
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN711 Issued in FL
Practice address
8316 Hanley Rd Ste 1
Tampa, FL 33634-2284
Phone
(813) 964-8080
Fax
(813) 512-2733
NPI assigned
Sep 12, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ACN711 FL Primary

Addresses

Primary practice location

8316 Hanley Rd Ste 1
Tampa, FL 33634-2284

Mailing address

8316 Hanley Rd Ste 1
Tampa, FL 33634-2284
Phone (813) 964-8080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160622002229 FL Practitioner - General Practice 7214245323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8316 Hanley Rd
Tampa, FL 33634-2284
Phone (813) 964-8080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lisset Maria Suarez MD PA General Practice CurrentSince Feb 1, 2019 Accepting new patients

Locations

8316 Hanley Rd
Ste 1
Tampa, FL 33634
Phone (813) 886-9597

8316 Hanley Rd
Ste 12
Tampa, FL 33634
Phone (813) 890-7246

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1487022067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8316 HANLEY RD STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342284",
            "telephone_number": "813-964-8080",
            "fax_number": "813-512-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8316 HANLEY RD STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342284",
            "telephone_number": "813-964-8080",
            "fax_number": "813-512-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUAREZ",
        "first_name": "LISSET",
        "middle_name": "MARIA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-12",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.