Individual
MARISA LOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
917 AVE TITO CASTRO, PONCE, PR 00716-4717
(787) 844-2080
(787) 841-7165
Mailing address
11441 LAKESIDE DR APT 2310, DORAL, FL 33178-3041
(310) 863-4719
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD2021-0720
NM
207P00000X
Emergency Medicine Physician
Primary
T3508
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2018
Last updated
01/26/2023
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