Individual provider Active NPI

Lois H Marrero, DDS

  • General Practice Dentistry
  • West Miami, FL
National Provider Identifier
1912184631
Registry record updated Jan 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 15700 Issued in FL
Practice address
1350 SW 57TH Ave
Suite 106
West Miami, FL 33144-5775
Phone
(305) 266-5859
Fax
(305) 269-4898
NPI assigned
Jan 24, 2008
Last updated
Jan 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 15700 FL Primary

Addresses

Primary practice location

1350 SW 57TH Ave
Suite 106
West Miami, FL 33144-5775

Mailing address

1350 SW 57TH Ave
Suite 106
West Miami, FL 33144-5775
Phone (305) 266-5859

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 15700FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201132800000",
    "number": "1912184631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 106",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-266-5859",
            "fax_number": "305-269-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 SW 57TH AVE",
            "address_2": "SUITE 106",
            "city": "WEST MIAMI",
            "state": "FL",
            "postal_code": "331445775",
            "telephone_number": "305-266-5859",
            "fax_number": "305-269-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARRERO",
        "first_name": "LOIS",
        "middle_name": "H",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 15700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.