Individual
VICENTE JOSE COGOLLO MANGONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11750 BIRD RD, MIAMI, FL 33175-3530
(305) 223-2000
(305) 227-5556
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 678-8160
(319) 353-6511
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD-56473
IA
208600000X
Surgery Physician
Primary
ME163948
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/08/2018
Last updated
01/27/2026
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