Individual
MR. MANUEL MCKENZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
BAYAMON MEDICAL PLAZA, OFFICE 909, BAYAMON, PR 00959
(787) 786-2230
(787) 786-2230
Mailing address
PO BOX 850, BAYAMON, PR 00960-0850
(787) 786-2230
(787) 786-2230
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4417
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9-6539
BLUE SHIELD
PR
Enumeration date
09/07/2006
Last updated
07/08/2007
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