Organization Active NPI

Alvaro G Manotas MD PA

  • Psychiatry Physician
  • Plantation, FL
National Provider Identifier
1457639429
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME40774 Issued in FL
Legal business name
ALVARO G MANOTAS MD PA
Practice address
817 S University Dr
Suite 120
Plantation, FL 33324-3309
Phone
(954) 474-9777
NPI assigned
Jul 25, 2011
Last updated
Jul 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Authorized official

Name
Dr. Alvaro Manotas, M.D.NPI 1356386973
Title
President
Phone
(954) 474-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME40774 FL Primary

Addresses

Primary practice location

817 S University Dr
Suite 120
Plantation, FL 33324-3309

Mailing address

817 S University Dr
Suite 120
Plantation, FL 33324-3309
Phone (954) 474-9777

Other identifiers 1

IdentifierTypeStateIssuer
067467200MedicaidFL

National Provider Directory

National Provider Directory

Locations

817 S University Dr
Ste 120
Plantation, FL 33324
Phone (954) 474-9777

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311552000000",
    "number": "1457639429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 120",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-474-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 S UNIVERSITY DR",
            "address_2": "SUITE 120",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243309",
            "telephone_number": "954-474-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALVARO G MANOTAS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-25",
        "last_updated": "2011-07-25",
        "status": "A",
        "authorized_official_last_name": "MANOTAS",
        "authorized_official_first_name": "ALVARO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-474-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME40774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067467200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; 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.