Martin Raul Garcia Manzanillo II, MD

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

210 Paseo Trio Vegabajeno Apt 226
Vega Baja, PR 00693-5844

Phone

(939) 251-3233

NPI assigned

Jan 29, 2019

Last updated

Jan 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1245794700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PASEO TRIO VEGABAJENO APT 226",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935844",
            "telephone_number": "939-251-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PASEO TRIO VEGABAJENO APT 226",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "006935844",
            "telephone_number": "939-251-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA MANZANILLO",
        "first_name": "MARTIN",
        "middle_name": "RAUL",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xiomara Ivette Fret Vargas
• Yesenia Lymaris Fuentes Perez, MD
• Alexandra Marie Fuentes Ramos
• Galeno LLC
• Paola Garcia Cruz
• Dwayne Garcia Velez, INTERNAL MEDICINE MD
• Aolenys Garcia-Dominguez, RN
• Alanis Fabiola Garcia, MS
• Gobierno Municipal de Vega Baja
• Zorelisa Gonzalez Adorno, M.D.

• Medical Physician Assistant in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.