Marciales, Werther R.
Marciales, Werther R. is an individual health care provider with primary practice located at 4401 Cortez Rd W , Bradenton FL 34210-3142. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Marciales, Werther R. can be contacted via phone (941) 423-1067.Contact Information
Primary practice address
4401 Cortez Rd W
Bradenton FL 34210-3142
Phone: (941) 423-1067
Fax: (941) 792-7152
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | ME70054 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME70054 | Florida |
Profile Details
| NPI number | 1619974839 |
|---|---|
| LBN Legal business name | Marciales, Werther R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Mar 20th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619974839 | NPPES |
| Florida | MEDICAID | 251048100 | |
| Florida | Other | 32220 |
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