| Doctor Name: | MARCELO BLAYA |
| NPI Number: | 1689885022 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | TRN 4596 |
| Business Practice Address: | 20801 Biscayne Blvd Suite 200 Aventura, FL - 331801430 |
| Business Phone Number: | 9542654325 |
| Business Fax Number: | 3059353186 |
| Mailing Address: | 2900 Corporate Way, Door D MIRAMAR |
| State: | FL |
| Postal Code: | 330253925 |
| Phone Number: | 9542765581 |
| Fax Number: | 9549857074 |
| NPI Enumeration Date: | 05/25/2007 |
| NPI Last Update Date: | 01/13/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | TRN 4596 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |