Provider Demographics
NPI:1982833166
Name:MARQUINA, WENDY (MD, PA-C)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:MARQUINA
Suffix:
Gender:F
Credentials:MD, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13301 SW 107TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-6065
Mailing Address - Country:US
Mailing Address - Phone:786-897-1155
Mailing Address - Fax:
Practice Address - Street 1:14505 COMMERCE WAY
Practice Address - Street 2:STE 750
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33016-1514
Practice Address - Country:US
Practice Address - Phone:305-362-9989
Practice Address - Fax:305-362-1355
Is Sole Proprietor?:No
Enumeration Date:2009-07-08
Last Update Date:2024-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME125605208M00000X, 207Q00000X
FLTRN18793207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist