Healthcare Provider Details

I. General information

NPI: 1396652871
Provider Name (Legal Business Name): FELICITA MARQUEZ IGLESIAS DDS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4890 W 3RD AVE
HIALEAH FL
33012-3933
US

IV. Provider business mailing address

4890 W 3RD AVE
HIALEAH FL
33012-3933
US

V. Phone/Fax

Practice location:
  • Phone: 786-443-4735
  • Fax: 305-826-0906
Mailing address:
  • Phone: 786-443-4735
  • Fax: 305-826-0906

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: FELICITA MARQUEZ IGLESIAS
Title or Position: DENTIST
Credential: DDS
Phone: 786-443-4735