Provider Demographics
NPI:1699025163
Name:MARQUEZ, YOVANY SR (RT(R)(R)MR(ARRT))
Entity Type:Individual
Prefix:
First Name:YOVANY
Middle Name:
Last Name:MARQUEZ
Suffix:SR
Gender:M
Credentials:RT(R)(R)MR(ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 NW 79TH AVE
Mailing Address - Street 2:310
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6556
Mailing Address - Country:US
Mailing Address - Phone:305-593-8355
Mailing Address - Fax:305-593-8369
Practice Address - Street 1:3900 NW 79TH AVE
Practice Address - Street 2:310
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6556
Practice Address - Country:US
Practice Address - Phone:305-593-8355
Practice Address - Fax:305-593-8369
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4545852471M1202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471M1202XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistMagnetic Resonance Imaging