Individual
MANUEL ENRIQUE ROSARIO MANZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
417 KM 0.7 BO. ASOMANTE, AGUADA, PR 00602
(787) 589-0003
(787) 868-1752
Mailing address
PO BOX 1143, AGUADA, PR 00602-1143
(787) 589-0003
(787) 868-1752
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA475
PR
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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