Manuel Enrique Rosario Manzano, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA475 Issued in PR

Practice address

417 KM 0.7 Bo. Asomante
Aguada, PR 00602

Phone

(787) 589-0003

Fax

(787) 868-1752

NPI assigned

Aug 2, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1609558345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1143",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "006021143",
            "telephone_number": "787-589-0003",
            "fax_number": "787-868-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 KM 0.7 BO. ASOMANTE",
            "city": "AGUADA",
            "state": "PR",
            "postal_code": "00602",
            "telephone_number": "787-589-0003",
            "fax_number": "787-868-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO MANZANO",
        "first_name": "MANUEL",
        "middle_name": "ENRIQUE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "PA475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris I Romero Lopez, M.A.
• Luis Ivan Rosa Benique, MD
• Santiago Rosa, M.D
• Coralysmarie Rosado Cortes, LMT
• Paola Rosado Rodriguez, DMD
• Rosario Medical Transport
• Rosario Ortiz Mental Health Services PSC
• Hermes G. Rosario Ortiz, PSY.D.
• Edwin Rosario
• Rosario'S Medical Transport

• Medical Physician Assistant in Aguada, PR
• Providers in Aguada, PR by specialty
• Medical Physician Assistant in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.