Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MANUEL DEJESUS BACALLAO, MD
Active Sole ProprietorFamily Medicine · MIAMI, FL
Registration Details
- NPI Number
- 1386603462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 20, 2006 (20.10634229953 yrs)
- Last Updated
- Aug 3, 2010
- License
-
ME38837 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8525 SW 92 STREETSUITE B 4MIAMI, FL, 331567374Browse FL providers · Browse ZIP 33156
- Phone
- 3052797446
- Fax
- 3055988753
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in MIAMI, FL
| Name | Credential | NPI |
|---|---|---|
| DR. CLIFFORD A KINDER | MD | 1669476537 |
| DR. GERARDO JORGE FRANCO | D.O. | 1942208582 |
| DR. NORMA SALENAH LAKE | MD | 1912906686 |
| DR. CARLOS MIGUEL LAROCCA | M.D. | 1265424097 |
| DR. ONEL CORRALES | M.D. | 1447246681 |
| NANCY MARIE EKLUND | MD | 1942298435 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.