Mani Medical Corp

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MANI MEDICAL CORP

Practice address

151 NW 11TH St
Homestead, FL 33030-4360

Phone

(786) 743-4803

NPI assigned

Sep 27, 2021

Organization subpart

No

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

Authorized official

Name

Steve Taylor

Title

Director

Phone

(786) 743-4803

Specialties & licenses 1

Addresses

Other names 1

• Mani Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Richard Eduardo Arevalo Sr.

  • Nurse Practitioner
  • Homestead, FL
  • NPI 1790373090
  Medicare reassignment
• Diana Centeno, ANRP

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1689220055
  Medicare reassignment
• Angela Dowd, APRN

  • Family Nurse Practitioner
  • Homestead, FL
  • NPI 1811761307
  Medicare reassignment
• Niermala Rattan Washington, M.D.

  • General Practice Physician
  • Pompano Beach, FL
  • NPI 1780611764
  Medicare reassignment

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656892800000",
    "number": "1295406429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST STE W303",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304306",
            "telephone_number": "786-743-4803",
            "fax_number": "786-349-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 NW 11TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304360",
            "telephone_number": "786-743-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANI MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-27",
        "last_updated": "2022-07-04",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-743-4803"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mani Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mani Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noralys Mallo
• Carmen Del Rocio Mancero, RN
• Nurys Mangano Andova
• Todd Paul Mangione, D.O.
• Mani Medical Clinic Corp
• Amy Janelle Manjarres
• Araceli Manrriquez
• Fani R Manzano Mora
• Wendy Xiomara Manzano
• Lisandra Gabriela Manzo

• Family Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.