Organization Active NPI

Marquesa Aesthetics LLC (Cranial Prosthesis)

  • Prosthetic/Orthotic Supplier
  • Miami, FL
National Provider Identifier
1124695507
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
MARQUESA AESTHETICS LLC (CRANIAL PROSTHESIS)
Practice address
2590 S Dixie Hwy
Miami, FL 33133-3137
Phone
(305) 444-4444
NPI assigned
Jun 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Authorized official

Name
Mr. Lorenzo Lorenzo, MBA
Title
Managing Member
Phone
(305) 444-4444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

2590 S Dixie Hwy
Miami, FL 33133-3137

Mailing address

2590 S Dixie Hwy
Miami, FL 33133-3137
Phone (305) 444-4444

Other names 1

  • Marquesa Cranial Prosthesis Doing business as

National Provider Directory

National Provider Directory

Locations

2590 S Dixie Hwy
Miami, FL 33133
Phone (305) 444-4444

NPI Registry JSON

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

{
    "created_epoch": "1622851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1124695507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333137",
            "telephone_number": "305-444-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 S DIXIE HWY",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331333137",
            "telephone_number": "305-444-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARQUESA AESTHETICS LLC (CRANIAL PROSTHESIS)",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-05",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "LORENZO",
        "authorized_official_first_name": "LORENZO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "305-444-4444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marquesa Cranial Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marquesa Cranial Prosthesis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.