Dr. Manuel J Mantecon, MD
General Practice in Miami, FL. Individual provider (NPI-1).
NPI number1962067728
StatusActive
Last updated in NPPESMay 7, 2019
Details
- NPI
- 1962067728
- Entity type
- Individual (NPI-1)
- Name
- Dr. Manuel J Mantecon
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 7, 2019
- Last updated
- May 7, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | HSE-6414 | FL | Yes |
Practice location
3663 S Miami AveMiami, FL 33133-4253
Phone 305-285-2949
Mailing address
3663 S Miami AveMiami, FL 33133-4253
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