Provider Demographics
NPI:1831229517
Name:MARQUEZ, ARTURO M (DMD)
Entity type:Individual
Prefix:MR
First Name:ARTURO
Middle Name:M
Last Name:MARQUEZ
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 972
Mailing Address - Street 2:
Mailing Address - City:SAN GERMAN
Mailing Address - State:PR
Mailing Address - Zip Code:00683-0972
Mailing Address - Country:US
Mailing Address - Phone:787-892-4360
Mailing Address - Fax:787-892-4360
Practice Address - Street 1:CALLE LUNA EDIFICIO RALI
Practice Address - Street 2:SUITE 203
Practice Address - City:SAN GERMAN
Practice Address - State:PR
Practice Address - Zip Code:00683
Practice Address - Country:US
Practice Address - Phone:787-892-4360
Practice Address - Fax:787-892-4360
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR11871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice