Individual provider Active NPI

Eysa M. Marquez-Brito, M.D.

  • Pediatric Adolescent Medicine Physician
  • Coral Gables, FL
National Provider Identifier
1275597973
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME47186 Issued in FL
Practice address
152 Almeria Ave
Coral Gables, FL 33134-6000
Phone
(305) 446-8377
Fax
(305) 567-9126
NPI assigned
Apr 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME47186 FL Primary

Addresses

Primary practice location

152 Almeria Ave
Coral Gables, FL 33134-6000

Mailing address

152 Almeria Avenue
Coral Gables, FL 33134-4515
Phone (305) 446-8377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME47186FLMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marquez & Bengochea Adolescent Medicine Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419206400000",
    "number": "1275597973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 ALMERIA AVENUE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344515",
            "telephone_number": "305-446-8377",
            "fax_number": "305-567-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 ALMERIA AVE",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331346000",
            "telephone_number": "305-446-8377",
            "fax_number": "305-567-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUEZ-BRITO",
        "first_name": "EYSA",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-12",
        "last_updated": "2014-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME47186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.