Provider Demographics
NPI:1295865293
Name:MARCOS SZOMSTEIN MDPA
Entity Type:Organization
Organization Name:MARCOS SZOMSTEIN MDPA
Other - Org Name:MIAMI COLON AND RECTAL SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCOS
Authorized Official - Middle Name:
Authorized Official - Last Name:SZOMSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-3080
Mailing Address - Street 1:PO BOX 144221
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33114-4221
Mailing Address - Country:US
Mailing Address - Phone:305-596-3080
Mailing Address - Fax:305-596-3073
Practice Address - Street 1:7765 SW 87TH AVE
Practice Address - Street 2:SUITE 212A
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-2596
Practice Address - Country:US
Practice Address - Phone:305-596-3080
Practice Address - Fax:305-596-3073
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2010-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000W4OtherBLUE CROSS BLUE SHIELD
FL276887900Medicaid
FLAC822Medicare PIN