=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447338892
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FARID MARQUEZ MD PA
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2006
-----------------------------------------------------
Last Update Date | 01/28/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 221 SW 42ND AVE 2ND FLOOR
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-1751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-476-0244
-----------------------------------------------------
Fax | 305-938-0852
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 221 SW 42ND AVE 2ND FLOOR
-----------------------------------------------------
City | CORAL GABLES
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33134-1751
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 305-476-0244
-----------------------------------------------------
Fax | 305-938-0852
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN/PRESIDENT
-----------------------------------------------------
Name | DR. FARID MARQUEZ
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 305-476-0244
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207R00000X
-----------------------------------------------------
Taxonomy Name | Internal Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------