MEDICARE: NATALIA VAZQUEZ MARRERO DMD

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	1223P0221X	Pediatric Dentistry	DN21644	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	:	1619341641
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIA VAZQUEZ MARRERO DMD

Provider Business Mailing Address
First Line	:	908 18TH TER
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4256
Country	:	US
Telephone Number	:	305-900-8258
Fax Number	:

Provider Business Practice Location Address
First Line	:	3706 N ROOSEVELT BLVD STE E
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4566
Country	:	US
Telephone Number	:	305-517-6613
Fax Number	:

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

Provider Enumeration Date	:	11/13/2015
Last Update Date	:	02/12/2026

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