Provider Demographics
NPI:1881936342
Name:MARQUEZ GUERRA, ERIC ALBERTO (MD)
Entity type:Individual
Prefix:DR
First Name:ERIC
Middle Name:ALBERTO
Last Name:MARQUEZ GUERRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIC
Other - Middle Name:ALBERTO
Other - Last Name:MARQUEZ-GUERRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2221 NORTH BLVD W
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33837-8990
Mailing Address - Country:US
Mailing Address - Phone:863-421-7600
Mailing Address - Fax:
Practice Address - Street 1:348 NE METHODIST TER
Practice Address - Street 2:
Practice Address - City:LAKE CITY
Practice Address - State:FL
Practice Address - Zip Code:32055-3408
Practice Address - Country:US
Practice Address - Phone:386-292-7844
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR029902-R208D00000X
FLME131544207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice