Provider Demographics
NPI:1710730262
Name:MARQUEZ SANTOS, DESIREE GENILO (MD)
Entity Type:Individual
Prefix:
First Name:DESIREE
Middle Name:GENILO
Last Name:MARQUEZ SANTOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DESIREE
Other - Middle Name:GENILO
Other - Last Name:MARQUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1655 WATER ST NE APT 60
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-0769
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1655 WATER ST NE APT 60
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-0769
Practice Address - Country:US
Practice Address - Phone:971-283-3881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program