Provider Demographics
NPI:1548522550
Name:MARQUEZ, ARMYL JOSEPH RUIZ
Entity type:Individual
Prefix:MR
First Name:ARMYL JOSEPH
Middle Name:RUIZ
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 MARIN BLVD APT 1021
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-6498
Mailing Address - Country:US
Mailing Address - Phone:201-240-7779
Mailing Address - Fax:
Practice Address - Street 1:145 HARBORSIDE PL
Practice Address - Street 2:#2
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07311
Practice Address - Country:US
Practice Address - Phone:201-565-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-14
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF310436363LA2200X, 363LA2200X
NJ26NJ01210700363LA2200X, 363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health