Provider Demographics
NPI:1033008578
Name:MARQUEZ, MARIANGELI (SRNA)
Entity type:Individual
Prefix:
First Name:MARIANGELI
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:SRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1228 CALLE CONSUELO MATOS APT 3
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00924-2562
Mailing Address - Country:US
Mailing Address - Phone:939-335-9847
Mailing Address - Fax:
Practice Address - Street 1:HOSPITAL MENONITA CAGUAS
Practice Address - Street 2:AVE. LUIS COLON SANTOS CARRETERA 173 KM 1.1
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727
Practice Address - Country:US
Practice Address - Phone:787-653-0550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR517607390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program