Individual
CARLOS MANTARAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12093 SW 152ND ST, MIAMI, FL 33177-1607
(786) 646-0098
Mailing address
7825 NW 107TH AVE APT 509, DORAL, FL 33178-4437
(787) 617-1769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH14325
FL
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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