Organization Active NPI

Manolisa T Cornel- Manaloto MD PLC

  • Internal Medicine Physician
  • Woodbridge, VA
National Provider Identifier
1578734547
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101232671 Issued in VA
Legal business name
MANOLISA T CORNEL- MANALOTO MD PLC
Practice address
12710 Darby Brook CT
Woodbridge, VA 22192-2486
Phone
(703) 499-9655
Fax
(703) 499-9535
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Manolisa Tandoc Cornel- ManalotoNPI 1679533327
Title
President
Phone
(703) 499-9655

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
Internal Medicine Physician 207R00000X 0101232671 VA Primary

Addresses

Primary practice location

12710 Darby Brook CT
Woodbridge, VA 22192-2486

Mailing address

12710 Darby Brook CT
Woodbridge, VA 22192-2486
Phone (703) 499-9655

National Provider Directory

National Provider Directory

Locations

2200 Opitz Blvd
Ste 340B
Woodbridge, VA 22191
Phone (703) 499-9655

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": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1578734547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 DARBY BROOK CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922486",
            "telephone_number": "703-499-9655",
            "fax_number": "703-499-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 DARBY BROOK CT",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922486",
            "telephone_number": "703-499-9655",
            "fax_number": "703-499-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOLISA T CORNEL- MANALOTO MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "CORNEL- MANALOTO",
        "authorized_official_first_name": "MANOLISA",
        "authorized_official_middle_name": "TANDOC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-499-9655"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101232671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.