Individual
MIGUEL Y. MANCAO
Active
Individual
MIGUEL Y. MANCAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME56634
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009105620
—
AL
01
—
050015910
RAILROAD MEDICARE
FL
05
—
061908600
—
FL
01
—
09706
BLUECROSS & BLUESHIELD
FL
01
—
59094698
BLUECROSS & BLUESHIELD
AL
01
—
Z191
HEALTH FIRST NETWORK
FL
Enumeration date
08/11/2005
Last updated
11/16/2011
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