Doctor Name: | MR. JULIAN MARQUEZ |
NPI Number: | 1184675647 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | ME0056854 |
Business Practice Address: | 2140 W 68th St Suite 401-a Hialeah, FL - 330161815 |
Business Phone Number: | 3058279939 |
Business Fax Number: | 3058279918 |
Mailing Address: | 2140 W 68th St, Suite 401-a HIALEAH |
State: | FL |
Postal Code: | 330161815 |
Phone Number: | 3058279939 |
Fax Number: | 3058279918 |
NPI Enumeration Date: | 05/12/2006 |
NPI Last Update Date: | 01/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME0056854 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |