Provider Demographics
NPI:1730898347
Name:MARQUEZ FALCON, REINALDO ANIBAL (FNP-C)
Entity type:Individual
Prefix:
First Name:REINALDO
Middle Name:ANIBAL
Last Name:MARQUEZ FALCON
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18130 SW 138TH CT
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33177-6451
Mailing Address - Country:US
Mailing Address - Phone:786-442-5430
Mailing Address - Fax:
Practice Address - Street 1:18130 SW 138TH CT
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33177-6451
Practice Address - Country:US
Practice Address - Phone:786-442-5430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF11220051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty