Active NPI
Ariel M Manduley, M.D.
- Surgery Physician
- Miami Lakes, FL
National Provider Identifier
1033222823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME34258
- Practice address
- 15175 Eagle Nest LN
Suite #108
Miami Lakes, FL 33014-2244 - Phone
- (305) 824-1107
- Fax
- (305) 558-0570
- NPI assigned
- Aug 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME34258 | FL | Primary |
Addresses
Primary practice location
15175 Eagle Nest LN
Suite #108
Miami Lakes, FL 33014-2244
Mailing address
15175 Eagle Nest LN
Suite #108
Miami Lakes, FL 33014-2244
Phone (305) 824-1107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME34258 | FL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Surgical Services, Inc. | Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Medical-Surgical Registered Nurse
- Miami Lakes, FL
- NPI 1235230244
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033222823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15175 EAGLE NEST LN",
"address_2": "SUITE #108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142244",
"telephone_number": "305-824-1107",
"fax_number": "305-558-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15175 EAGLE NEST LN",
"address_2": "SUITE #108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330142244",
"telephone_number": "305-824-1107",
"fax_number": "305-558-0570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDULEY",
"first_name": "ARIEL",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME34258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.