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Individual
DR. MANUEL CORREA FORTES
Active
Individual
DR. MANUEL CORREA FORTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
ME142665
FL
2085R0204X
Vascular & Interventional Radiology Physician
0101265756
VA
2085R0204X
Vascular & Interventional Radiology Physician
D0074808
MD
2085R0204X
Vascular & Interventional Radiology Physician
DR.0067125
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
ME142665
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962639757
—
VA
Enumeration date
06/18/2009
Last updated
02/04/2025
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