Individual provider Active NPI

Lorena Marie Corzo, DDS, MSD

  • Periodontics
  • Miami, FL
National Provider Identifier
1225429038
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN21466 Issued in FL
Practice address
14201 SW 66TH St
Apt 508-a
Miami, FL 33183
Phone
(786) 395-1288
NPI assigned
Feb 16, 2015
Last updated
Oct 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X DN21466 FL Primary

Addresses

Primary practice location

14201 SW 66TH St
Apt 508-a
Miami, FL 33183

Mailing address

330 SE 2ND St Apt 104E
Hallandale Beach, FL 33009-5609
Phone (786) 395-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200123000634 FL Order and Referring Only - DentistPractitioner - Dentist 3971938853

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN21466FLMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1225429038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SE 2ND ST APT 104E",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330095609",
            "telephone_number": "786-395-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 SW 66TH ST",
            "address_2": "APT 508-A",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33183",
            "telephone_number": "786-395-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORZO",
        "first_name": "LORENA",
        "middle_name": "MARIE",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN21466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.