Healthcare Provider Details

I. General information

NPI: 1598767543
Provider Name (Legal Business Name): MARCOS AGUSTIN NORES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 MEADOWS RD STE 202
BOCA RATON FL
33486-2324
US

IV. Provider business mailing address

1001 NW 13TH ST STE 201
BOCA RATON FL
33486-2269
US

V. Phone/Fax

Practice location:
  • Phone: 561-955-6300
  • Fax: 844-689-3537
Mailing address:
  • Phone: 561-955-6663
  • Fax: 561-955-2879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME108415
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: