Individual
RACHEL MANALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1610 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179-4900
(305) 940-6016
(305) 940-6167
Mailing address
1756 N BAYSHORE DR, MIAMI, FL 33132-1132
(916) 806-3391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A14412
CA
208000000X
Pediatrics Physician
Primary
OS15529
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101720600
—
FL
Enumeration date
05/13/2014
Last updated
10/13/2020
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