Individual
MANUEL R CASTRESANA
Active
Individual
MANUEL R CASTRESANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
022729
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000235529I
—
GA
01
—
004994
BCBS
GA
01
—
339269
WELLCARE CMO
GA
01
—
550789920
TRICARE
GA
05
—
G22729
—
SC
01
—
P00077013
RRMEDICARE
GA
Enumeration date
09/27/2006
Last updated
06/19/2008
Update your record
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