Manuel Y Paulino

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

MANUEL Y PAULINO

Practice address

3501 Townsend Blvd # 305
Jacksonville, FL 32277-9303

Phone

(305) 202-4751

NPI assigned

Jul 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Roberto Diaz

Title

President

Phone

(305) 202-4751

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1248307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1609006667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 TOWNSEND BLVD # 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779303",
            "telephone_number": "305-202-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 TOWNSEND BLVD # 305",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322779303",
            "telephone_number": "305-202-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL Y PAULINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-23",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-202-4751",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manther's Place Counseling LLC
• Manthers Place Counseling
• Sarah Mantia, MMSC
• Jose Oscar Mantilla-Rivas
• Amelia Elizabeth Wharen Mantione, M.S.N., APRN, AGACNP
• Ana May Magdalen Pascual Manuel, MD
• Deasia Manuel
• Jason Manuel, D.P.M.
• Kim Marie Manuel, ARNP
• Victoria Manuel, LCSW

• Parenteral & Enteral Nutrition Supplies (DME) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.