Manor Plaza Pediatric & General Medicine Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME0042195 Issued in FL

Legal business name

MANOR PLAZA PEDIATRIC & GENERAL MEDICINE INC.

Doing business as

Manor Plaza Pediatric and General Medicine
Minor Plaza Pediatric and General Medicine

Practice address

1234 NE 4TH Ave Suite a
Fort Lauderdale, FL 33304-1925

Phone

(954) 779-1667

Fax

(954) 760-7253

NPI assigned

Jun 22, 2011

Last updated

Mar 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Helena M Gaviria, M.D.

Title

Medical Director

Phone

(954) 779-1667

Specialties & licenses 2

Addresses

Other names 2

• MANOR PLAZA PEDIATRIC AND GENERAL MEDICINE Doing business as
• MINOR PLAZA PEDIATRIC AND GENERAL MEDICINE Doing business as

Locations

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.

• Guerlyne Desir, FNP-BC

  • Family Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1710359294

  Single Specialty

  NPD
• Jean-Wilner Mathieu, M.D.

  • Pediatrics Physician
  • Fort Lauderdale, FL
  • NPI 1629066980
  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1558657130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 NE 4TH AVE STE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041977",
            "telephone_number": "954-779-1667",
            "fax_number": "954-760-7253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 NE 4TH AVE SUITE A",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041925",
            "telephone_number": "954-779-1667",
            "fax_number": "954-760-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR PLAZA PEDIATRIC & GENERAL MEDICINE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "GAVIRIA",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "954-779-1667",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME0042195",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0042195",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANOR PLAZA PEDIATRIC AND GENERAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MINOR PLAZA PEDIATRIC AND GENERAL MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yahaira Manon, PMHNP-BC
• Manor Medical Center Inc.
• Manor Oaks SNF Operations LLC (Manor Oaks Center for Rehabilitation and Healing)
• Manor Oaks, Inc.
• Manor Pines SNF Operations LLC (Manor Pines Center for Rehabilitation and Healing)
• Nandra D. Mansaram, CRNA
• Mansfieldcare LLC
• Jason Mansour, MD
• Jose Ignacio Mantilla, MD
• Manuel Diez, M.D., P.a.

• Pediatrics Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; 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.