MEDICARE: DR. LUIS ARNALDO MARCHANY-ALFONSO M.D.

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	2084P0800X	Psychiatry Physician	ME134987	FL
2	208D00000X	General Practice Physician	16217	PR
3	390200000X	Student in an Organized Health Care Education/Training Program	239492	NY
4	2084P0800X	Psychiatry Physician	16217	PR

General Provider Information

NPI Number	:	1447241542
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LUIS ARNALDO MARCHANY-ALFONSO M.D.

Provider Business Mailing Address
First Line	:	2645 EXECUTIVE PARK DR STE 330
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3624
Country	:	US
Telephone Number	:	954-751-4269
Fax Number	:	954-686-2487

Provider Business Practice Location Address
First Line	:	2645 EXECUTIVE PARK DR STE 330
Second Line	:
City	:	WESTON
State	:	FL
Zip	:	33331-3624
Country	:	US
Telephone Number	:	954-751-4269
Fax Number	:	954-686-2487

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

Provider Enumeration Date	:	10/30/2005
Last Update Date	:	11/17/2020

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