Active NPI
Chaira Zuriel Cancel Marquez
- Rehabilitation Psychologist
- Palm Bay, FL
National Provider Identifier
1568089761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Psychologist
- Practice address
- 1071 Port Malabar Blvd NE Ste 106
Palm Bay, FL 32905-5161 - Phone
- (407) 730-7983
- NPI assigned
- Jul 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Psychologist | 103TR0400X | Primary |
Addresses
Primary practice location
1071 Port Malabar Blvd NE Ste 106
Palm Bay, FL 32905-5161
Mailing address
607 S Oxalis Ave
Orlando, FL 32807-4714
Phone (407) 844-7817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593734400000",
"number": "1568089761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 S OXALIS AVE",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328074714",
"telephone_number": "407-844-7817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1071 PORT MALABAR BLVD NE STE 106",
"city": "PALM BAY",
"state": "FL",
"postal_code": "329055161",
"telephone_number": "407-730-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANCEL MARQUEZ",
"first_name": "CHAIRA",
"middle_name": "ZURIEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-03",
"last_updated": "2020-07-03",
"certification_date": "2020-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Bay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.