Most Relevant Information
Provider Data
| NPI Number: | 1003650938 |
| Provider Name: | MIGUEL ALBERTO MARENCO PALACIOS MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/24/2024 |
| Last Updated: | 06/24/2024 |
Provider Practice Location
1650 GRAND CONCOURSE
BRONX
NY
104577679
Practice Location Phone/Fax
| Phone: | 7185901800 |
| Fax: |
Provider Mailing Location
1440 SW 104TH PATH APT 203
MIAMI
FL
331743821
Provider Mailing Phone/Fax
| Phone: | 7869228812 |
| Fax: |