Jose Manuel Manchego

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11000250 Issued in FL

Practice address

16801 NW 67TH Ave
Hialeah, FL 33015-4203

Phone

(305) 362-8255

NPI assigned

Jan 18, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• New Horizon Family Health Services Inc

  dba New Horizon Family Health Services - Berea

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1629872734
  NPD
• New Horizon Family Health Services, Inc.

  dba New Horizon Family Health Services - Main Site

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1043495526
  NPD
• New Horizon Family Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1205949757
  NPD
• New Horizon Family Health Services Inc.

  dba Care Team Express Mobile Medical Unit 2

  • Federally Qualified Health Center (FQHC)
  • Greenville, SC
  • NPI 1356127021
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1932673209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16801 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154203",
            "telephone_number": "305-362-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16801 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330154203",
            "telephone_number": "305-362-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCHEGO",
        "first_name": "JOSE",
        "middle_name": "MANUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11000250",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11000250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Managed Healthcare Solutions, Inc.
• Managed Mental Health LLC
• Mercy Manana, PA-C
• Chabelys Mancha Hernandez
• Leonardo Mancha Sanchez, MD
• Daynelis Mancilla Prieto
• Nicketris Simmons Mandela, PHARMD
• Christina Manning
• Manosamigas Home Care Services Inc
• Arlettys D Manresa Pineda

• Family Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.