Healthcare Provider Details

I. General information

NPI: 1619131737
Provider Name (Legal Business Name): MARCOS CHERTMAN MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 NW 14TH ST SUITE # 304
MIAMI FL
33125-1673
US

IV. Provider business mailing address

1321 NW 14TH ST SUITE # 304
MIAMI FL
33125-1673
US

V. Phone/Fax

Practice location:
  • Phone: 305-324-5481
  • Fax: 305-324-7852
Mailing address:
  • Phone: 305-324-5481
  • Fax: 305-324-7852

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCOS M CHERTMAN
Title or Position: OWNER
Credential: M.D.
Phone: 305-324-5481