MEDICARE: SANDRA ROCIO MARQUEZ

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	235Z00000X	Speech-Language Pathologist	SZ12701	FL

General Provider Information

NPI Number	:	1275421711
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA ROCIO MARQUEZ

Provider Business Mailing Address
First Line	:	2061 VININGS CIR APT 1422
Second Line	:
City	:	WELLINGTON
State	:	FL
Zip	:	33414-2078
Country	:	US
Telephone Number	:	352-216-5850
Fax Number	:

Provider Business Practice Location Address
First Line	:	4645 GUN CLUB RD STE 12
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33415-2833
Country	:	US
Telephone Number	:	352-216-5850
Fax Number	:

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

Provider Enumeration Date	:	06/24/2025
Last Update Date	:	06/01/2026

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Directions to “ SANDRA ROCIO MARQUEZ ” Practice Location

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