Individual
MANOLO CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063669927
NPI GROUP
MD
01
—
19731
MD LICENSE
MD
01
—
263150124
TAX ID
MD
Enumeration date
09/14/2010
Last updated
01/29/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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