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NPI Code Detail

MEDICARE: MARCOS LORES

MEDICARE:   MARCOS  LORES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA20759FL

General Provider Information

NPI Number : 1558292797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOS LORES
Provider Business Mailing Address
First Line : 2023 W 62ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2678
Country : US
Telephone Number : 786-536-4399
Fax Number : 786-481-5891
Provider Business Practice Location Address
First Line : 2023 W 62ND ST
Second Line :
City : HIALEAH
State : FL
Zip : 33016-2678
Country : US
Telephone Number : 786-536-4399
Fax Number : 786-481-5891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “ MARCOS LORES ” Practice Location

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