Individual provider Active NPI

Alex Jesus Manzano, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami Beach, FL
National Provider Identifier
1356523633
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME110062 Issued in FL
Practice address
4302 Alton Rd Ste 620
Miami Beach, FL 33140-2876
Phone
(786) 433-2450
Fax
(305) 413-5934
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME110062 FL
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME110062 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 620
Miami Beach, FL 33140-2876

Mailing address

7887 N Kendall Dr Ste 215
Miami, FL 33156-7758
Phone (786) 433-2450

Other practice location 1

7887 N Kendall Dr Ste 215
Miami, FL 33156-7758
Phone (786) 433-2450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4308 Alton Rd
Suite 310
Miami Beach, FL 33140-4556

8525 SW 92ND St
Miami, FL 33156-7365

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Andreina Rojas MD PA Endocrinology, Diabetes & Metabolism CurrentSince Jul 1, 2020 Accepting new patients
Provectus Health LLC Past Accepting new patients

Locations

7887 N Kendall Dr
Ste 215
Miami, FL 33156
Phone (305) 663-8877

4302 Alton Rd
Ste 620
Miami Beach, FL 33140
Phone (305) 538-8658

7000 SW 62nd Ave
Ste 602
South Miami, FL 33143
Phone (786) 422-5223

Interoperability endpoints

  • Direct secure messaging: alex.manzano.1@23652.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1356523633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7887 N KENDALL DR STE 215",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567758",
            "telephone_number": "786-433-2450",
            "fax_number": "786-607-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 620",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402876",
            "telephone_number": "786-433-2450",
            "fax_number": "305-413-5934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7887 N Kendall Dr Ste 215",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331567758",
            "country_code": "US",
            "telephone_number": "786-433-2450",
            "fax_number": "786-607-3047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANZANO",
        "first_name": "ALEX",
        "middle_name": "JESUS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-29",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME110062",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME110062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.