Individual
ALFONSO MANOTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-7000
Mailing address
20900 BISCAYNE BLVD, AVENTURA, FL 33180-1407
(305) 682-7000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME164753
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
FL
Other
Enumeration date
04/05/2021
Last updated
07/12/2024
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