Provider Demographics
NPI:1124446711
Name:MARQUEZ, NATALIA (MA)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:MARQUEZ
Suffix:
Gender:F
Credentials:MA
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 8205
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-8205
Mailing Address - Country:US
Mailing Address - Phone:787-636-2295
Mailing Address - Fax:
Practice Address - Street 1:1845 CARRETERA 2 BAYAMON MEDICAL PLAZA
Practice Address - Street 2:SUITE 609
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-7204
Practice Address - Country:US
Practice Address - Phone:787-636-2295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-01
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5483103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling