| Otto Marquez Md Pa | |
|
13801 Sw 34th St Miami FL 33175-7210 | |
| (305) 431-1376 | |
| (305) 470-1853 |
| Full Name | Otto Marquez Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 13801 Sw 34th St, Miami, Florida |
| Authorized Official Name and Position | Otto Marquez (PHYSICIAN/PROVIDER) |
| Authorized Official Contact | 3054311376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Otto Marquez Md Pa 13801 Sw 34th St Miami FL 33175-7210 Ph: (305) 431-1376 | Otto Marquez Md Pa 13801 Sw 34th St Miami FL 33175-7210 Ph: (305) 431-1376 |
| NPI Number | 1730546565 |
|---|---|
| Provider Enumeration Date | 01/25/2016 |
| Last Update Date | 01/19/2024 |
| Medicare PECOS PAC ID | 3779880612 |
|---|---|
| Medicare Enrollment ID | O20160321001807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730546565 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME122562 (Florida) | Primary |
| Provider Name | Otto Marquez Mendoza |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679950695 PECOS PAC ID: 2062720055 Enrollment ID: I20150924000581 |
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