Individual
DIEGO MANTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3280 PONCE DE LEON BLVD, CORAL GABLES, FL 33134-7252
(305) 444-0909
Mailing address
5880 COLLINS AVE, APT 903, MIAMI BEACH, FL 33140-2201
(305) 868-0873
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT15204
FL
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT15204
LICENSE #
FL
Enumeration date
08/30/2006
Last updated
07/17/2025
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