Individual
MANUEL JESUS ALEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8764 NW 143RD TER, HIALEAH, FL 33018-8026
(786) 346-4358
Mailing address
8764 NW 143RD TER, HIALEAH, FL 33018-8026
(786) 346-4358
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
626580-1
NY
163W00000X
Registered Nurse
Primary
RN 9305740
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1604171947
—
FL
Enumeration date
04/23/2010
Last updated
04/23/2010
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