Active NPI
Marquesa Aesthetics LLC (Cranial Prosthesis)
- Prosthetic/Orthotic Supplier
- Miami, FL
National Provider Identifier
1124695507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.