Provider Demographics
NPI:1598205718
Name:ZERQUIS MOLINA, MANUEL ALEJANDRO (DDS)
Entity Type:Individual
Prefix:
First Name:MANUEL
Middle Name:ALEJANDRO
Last Name:ZERQUIS MOLINA
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 1:14586 SW 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-3133
Mailing Address - Country:US
Mailing Address - Phone:305-221-8780
Mailing Address - Fax:305-221-0364
Practice Address - Street 1:14586 SW 8TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-3133
Practice Address - Country:US
Practice Address - Phone:305-221-8780
Practice Address - Fax:305-221-0364
Is Sole Proprietor?:No
Enumeration Date:2017-03-07
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL244911223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice