Marco a Fabrega Jr. MD PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME82033 Issued in FL

Legal business name

MARCO A FABREGA JR. MD PA

Practice address

8180 NW 36TH St
Suite 310
Doral, FL 33166-6645

Phone

(305) 594-3038

NPI assigned

Dec 14, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marco A Fabrega Jr., M.D.

Title

President

Phone

(954) 303-2510

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083776181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 N UNIVERSITY DR",
            "address_2": "280",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8180 NW 36TH ST",
            "address_2": "SUITE 310",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331666645",
            "telephone_number": "305-594-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCO A FABREGA JR. MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FABREGA",
        "authorized_official_first_name": "MARCO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-303-2510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME82033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Doral, FL
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.