Otto Marquez MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME122562 Issued in FL

Legal business name

OTTO MARQUEZ MD PA

Practice address

13801 SW 34TH St
Miami, FL 33175-7210

Phone

(305) 431-1376

Fax

(305) 470-1853

NPI assigned

Jan 25, 2016

Last updated

Jan 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Otto Marquez, MD PA

Title

Physician/Provider

Phone

(305) 431-1376

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Otto Marquez Mendoza, MD PA

  • Family Medicine Physician
  • Miami, FL
  • NPI 1679950695
  Medicare reassignment NPD

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

{
    "created_epoch": "1453680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1730546565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 SW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757210",
            "telephone_number": "305-431-1376",
            "fax_number": "305-470-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 SW 34TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331757210",
            "telephone_number": "305-431-1376",
            "fax_number": "305-470-1853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO MARQUEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-25",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "PHYSICIAN/PROVIDER",
        "authorized_official_telephone_number": "305-431-1376",
        "authorized_official_credential": "MD PA"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME122562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otif Medical Supplies Corp
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• Michael Otte
• Karren A Ottey-Samuels, PHARM.D.
• Stephaney Ottey-Williams, LMHC
• Shirley Stovall Otusanya
• Yael Ouaknine, FNP-BC
• Nathalie Oudin, DVM
• Ouellette Group Physicians for the Hand
• Ouellette Group Physicians for the Hand, P.L.

• Family Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.