Provider Demographics
NPI:1467488031
Name:MARCOS THERAPY, INC.
Entity Type:Organization
Organization Name:MARCOS THERAPY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:
Authorized Official - Last Name:DARIAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-822-9282
Mailing Address - Street 1:3742 W 12TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-4126
Mailing Address - Country:US
Mailing Address - Phone:305-822-9282
Mailing Address - Fax:305-822-9281
Practice Address - Street 1:3742 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-4126
Practice Address - Country:US
Practice Address - Phone:305-822-9282
Practice Address - Fax:305-822-9281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL68-6840Medicare ID - Type UnspecifiedOUTPATIENT REHAB CENTER