Loraine De Las Mercedes Cerejido Marquez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN28961 Issued in FL

Practice address

1616 Cape Coral Pkwy W Ste 115
Cape Coral, FL 33914-6973

Phone

(239) 256-1414

NPI assigned

Apr 4, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Loraine De Las Mercedes Cerejido Marquez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1194577783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 CAPE CORAL PKWY W STE 115",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146973",
            "telephone_number": "239-256-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CAPE CORAL PKWY W STE 115",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146973",
            "telephone_number": "239-256-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEREJIDO MARQUEZ",
        "first_name": "LORAINE",
        "middle_name": "DE LAS MERCEDES",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "DE",
            "license": "G8-CH00015",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN28961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORAINE",
            "last_name": "CEREJIDO MARQUEZ",
            "middle_name": "DE LAS MERCEDES",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Greter Cepero Gonzalez, BCBA
• Maralis Cepero
• Rossana Cepero
• Teresa Nicole Cerchiara, DMD
• Daniel A Cerdeira, DPT
• Clisbelt Cervelo Cuenco
• Dahiyana Cespedes Tamayo, RBT-24-347016
• Angela Milena Cetina Robles
• Cleeff-Thaly Cetoute
• Jose Gustavo Cevallos Yepez, M.D.

• General Practice Dentistry in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.