Individual
LUCIA MARGARITA VICENTE MANTARAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
740 SW 109TH AVE, MIAMI, FL 33174-1340
(787) 367-5643
Mailing address
740 SW 109TH AVE, MIAMI, FL 33174-1340
(787) 367-5643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/22/2026
Last updated
07/22/2026
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