Individual
ALEX JESUS MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4302 ALTON RD STE 620, MIAMI BEACH, FL 33140-2876
(786) 433-2450
(305) 413-5934
Mailing address
7887 N KENDALL DR STE 215, MIAMI, FL 33156-7758
(786) 433-2450
(786) 607-3047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME110062
FL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME110062
FL
Other
Enumeration date
11/29/2007
Last updated
07/06/2022
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