Otto Marques

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11544 Issued in FL

Practice address

3082 NW 17TH St
Miami, FL 33125-1949

Phone

(786) 859-9369

NPI assigned

Sep 28, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Proactive Health Corp

  • Clinic/Center
  • Hialeah, FL
  • NPI 1316510506

  Speech-Language Pathologist

  NPD
• Proactive Health Corp

  • Behavior Analyst
  • Hialeah, FL
  • NPI 1497117683

  Single Specialty

  NPD

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

{
    "created_epoch": "1695859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1295514156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3082 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251949",
            "telephone_number": "786-859-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3082 NW 17TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251949",
            "telephone_number": "786-859-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUES",
        "first_name": "OTTO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-28",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blake Marotta, OD
• Gustavo Marques Alonso, ARNP
• Yamily Marques de la Cruz, FNP-C
• Marelys Marques Gonzalez, RBT
• Carlos Javier Marques, DDS
• Marquesa Aesthetics LLC (Cranial Prosthesis)
• Marialys Marquetti
• Sandy Marquetti
• Arlenis Marquez Almaguer
• Maria Luisa Marquez Barrios

• Speech-Language Pathologist in Miami, FL
• Providers in Miami, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.