Provider Demographics
NPI:1508979022
Name:MARQUEZ, FELIX DANIEL (DDS)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:DANIEL
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:C4 CALLE CAROLA
Mailing Address - Street 2:ROYAL GARDENS
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-2524
Mailing Address - Country:US
Mailing Address - Phone:787-799-2443
Mailing Address - Fax:787-799-2443
Practice Address - Street 1:CENTRO COMERCIAL ROYAL GARDENS LOCAL #8
Practice Address - Street 2:MARGINAL CARR #167
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957
Practice Address - Country:US
Practice Address - Phone:787-799-2443
Practice Address - Fax:787-799-2443
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR24881223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice