MEDICARE: MARIANGELI MARQUEZ SRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program	517607	PR

General Provider Information

NPI Number	:	1033008578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIANGELI MARQUEZ SRNA

Provider Business Mailing Address
First Line	:	1228 CALLE CONSUELO MATOS APT 3
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00924-2562
Country	:	US
Telephone Number	:	939-335-9847
Fax Number	:

Provider Business Practice Location Address
First Line	:	HOSPITAL MENONITA CAGUAS
Second Line	:	AVE. LUIS COLON SANTOS CARRETERA 173 KM 1.1
City	:	CAGUAS
State	:	PR
Zip	:	00727
Country	:	US
Telephone Number	:	787-653-0550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	07/01/2025

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