Marianella Bousquet la Corte, SA-C

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

17-305 Issued in FL

Practice address

11301 NW 88TH Ter
Doral, FL 33178-2774

Phone

(305) 905-2081

NPI assigned

May 23, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1629505532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 NW 88TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782774",
            "telephone_number": "305-905-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 NW 88TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331782774",
            "telephone_number": "305-905-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSQUET LA CORTE",
        "first_name": "MARIANELLA",
        "credential": "SA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-23",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "FL",
            "license": "17-305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Botero, D.D.S
• Dolly M Botero, PT
• Zina Bouldah
• Josue Boullosa Fuchs
• Claudette Bourdeau, RN
• Dunia Bouzamayor San Juan
• Thomas Bowers Jr., CRNA
• Anangelica Bradley, NP
• Pedro Brasac, M.D.
• Gail P. Brasfield, RN

• Surgical Assistant in Doral, FL
• Providers in Doral, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.