Provider Demographics
NPI:1710956958
Name:MARQUEZ, JOSE L (MD)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:L
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:2601 SW 37TH AVE STE 901
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-2751
Mailing Address - Country:US
Mailing Address - Phone:305-698-7828
Mailing Address - Fax:305-512-5750
Practice Address - Street 1:2601 SW 37TH AVE
Practice Address - Street 2:SUITE 907
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4227
Practice Address - Country:US
Practice Address - Phone:305-285-7282
Practice Address - Fax:305-285-7114
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 0051264207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL374107900Medicaid
FLE47437Medicare UPIN
FL374107900Medicaid