Active NPI
Manuel Afonso
- Other Technician
- Pompano Beach, FL
National Provider Identifier
1346711264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- Practice address
- 200 SE 19TH Ave
Pompano Beach, FL 33060-7543 - Phone
- (954) 214-0843
- NPI assigned
- Dec 17, 2018
- Sex
- Male
- Sole proprietor
- No
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)
- Not enrolled
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | Primary |
Addresses
Primary practice location
200 SE 19TH Ave
Pompano Beach, FL 33060-7543
Mailing address
125 N 19TH Ave Apt 216
Hollywood, FL 33020-4550
Phone (786) 848-8103
NPI Registry JSON
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545004800000",
"number": "1346711264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 N 19TH AVE APT 216",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330204550",
"telephone_number": "786-848-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 SE 19TH AVE",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330607543",
"telephone_number": "954-214-0843"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFONSO",
"first_name": "MANUEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-12-17",
"last_updated": "2018-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.