Active NPI
Marisa Lois, MD
- Emergency Medicine Physician
- Ponce, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- T3508
- Practice address
- 917 Ave Tito Castro
Ponce, PR 00716-4717 - Phone
- (787) 844-2080
- Fax
- (787) 841-7165
- NPI assigned
- Apr 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD2021-0720 | NM | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | T3508 | TX | Primary |
Addresses
Primary practice location
917 Ave Tito Castro
Ponce, PR 00716-4717
Mailing address
11441 Lakeside Dr Apt 2310
Doral, FL 33178-3041
Phone (310) 863-4719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Northeastern Ohio University College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10301 Gateway Blvd W
Del Sol Med Ctr
El Paso, TX 79925-7701
Phone (915) 595-9000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T3508 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Emergency Medical Associates of NM PC | Emergency Medicine | Current | Accepting new patients |
| Emergency Services of Texas PA | Emergency Medicine | Current | Accepting new patients |
Locations
2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641
1535 N Resler Dr
El Paso, TX 79912
Phone (915) 231-1600
1801 N Oregon St
El Paso, TX 79902
Phone (409) 883-9361
10301 Gateway Blvd W
El Paso, TX 79925
Phone (915) 543-2424
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Orange, TX
- NPI 1174932131
-
- Emergency Medicine Physician
- Las Cruces, NM
- NPI 1720505571
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Las Palmas del Sol Healthcare
- General Acute Care Hospital
- El Paso, TX
- NPI 1770536120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1487141396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11441 LAKESIDE DR APT 2310",
"city": "DORAL",
"state": "FL",
"postal_code": "331783041",
"telephone_number": "310-863-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 AVE TITO CASTRO",
"city": "PONCE",
"state": "PR",
"postal_code": "007164717",
"telephone_number": "787-844-2080",
"fax_number": "787-841-7165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOIS",
"first_name": "MARISA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "MD2021-0720",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "T3508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponce, PR
- Natalia Estefania Llaurador Caraballo, DMD
- Astrid Paola Llorens, MPH
- Nannette Esther Llorens, PH.D
- Francisco J. Llull, D.M.D.
- Jorge E Lluveras, M. D.
- Shaira J. Lopez Acevedo, SPEECH LANGUAGE PATH
- Allison N Lopez Aranzamendi, PSYD
- Josmary Lopez Barbosa, MCSW
- Ashley Lopez Canizares
- Luis Alberto Lopez Castro, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.