Basic Information
| Provider Information | |||||||||
| NPI: | 1740397645 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MARCELA WEISS MD, PA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20770 W DIXIE HWY | ||||||||
| Address2: | |||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059339740 | ||||||||
| FaxNumber: | 3059339742 | ||||||||
| Practice Location | |||||||||
| Address1: | 20770 W DIXIE HWY | ||||||||
| Address2: | |||||||||
| City: | AVENTURA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331801146 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059339740 | ||||||||
| FaxNumber: | 3059339742 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | WEISS | ||||||||
| AuthorizedOfficialFirstName: | MARCELA | ||||||||
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| AuthorizedOfficialTitleorPosition: | DR | ||||||||
| AuthorizedOfficialTelephone: | 3059339740 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | ME84818 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.