MEDICARE: JOSE R. MARQUINA, M.D., P.A.

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	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	179809	FL
2	207RP1001X	Pulmonary Disease Physician	179809	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033136023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOSE R. MARQUINA, M.D., P.A.

Provider Business Mailing Address
First Line	:	PO BOX 111179
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-0120
Country	:	US
Telephone Number	:	239-592-5864
Fax Number	:	239-592-6214

Provider Business Practice Location Address
First Line	:	1855 VETERANS PARK DR
Second Line	:	SUITE 302
City	:	NAPLES
State	:	FL
Zip	:	34109-0446
Country	:	US
Telephone Number	:	239-592-5864
Fax Number	:	239-592-6214

Authorized Official
Title or Position	:	OWNER
Name	:	JOSE R MARQUINA
Credential	:	M.D., F.C.C.P.
Telephone Number	:	239-592-5864

Provider Enumeration Date	:	07/16/2006
Last Update Date	:	08/09/2011

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Directions to “JOSE R. MARQUINA, M.D., P.A. ” Practice Location

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