Cosmetic Surgical Group, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

OSR541 Issued in FL

Legal business name

COSMETIC SURGICAL GROUP, LLC

Practice address

13055 SW 42ND St
Suite # 102
Miami, FL 33175-3406

Phone

(305) 228-8300

Fax

(305) 228-8371

NPI assigned

Oct 3, 2013

Organization subpart

No

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

Authorized official

Name

Lizeth Menendez

Title

President

Phone

(305) 297-0623

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1033546155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST",
            "address_2": "SUITE # 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753406",
            "telephone_number": "305-228-8380",
            "fax_number": "305-228-8371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13055 SW 42ND ST",
            "address_2": "SUITE # 102",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753406",
            "telephone_number": "305-228-8300",
            "fax_number": "305-228-8371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMETIC SURGICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "MENENDEZ",
        "authorized_official_first_name": "LIZETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-297-0623"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "OSR541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Cosio
• Yaneli Cosma, OTA
• Cosme Medical Center LLC
• Yunia Cosme
• Cosmetic Smiles by Design Corp
• Cosmic Kids Therapy, Inc.
• Daylenis Cossio Quesada
• Aldo Marcellino Cossio, M.S
• Frank Efrain Cossio, LDO
• Shara Filomena Costa Anderson, APRN

• Ambulatory Surgical Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Ambulatory Surgical Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.