DR. MARK CONSTANTINE CRISTOBAL MANGUERRA


Address: 24035 Three Notch Rd, Hollywood, MD 20636-4871
Phone: 3013737900

DR. MARK CONSTANTINE CRISTOBAL MANGUERRA (NPI# 1598012759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598012759
Entity Type Individual
Full Name DR. MARK CONSTANTINE CRISTOBAL MANGUERRA
Credential M.D.
Practice Address 24035 Three Notch Rd
Hollywood
MD 20636-4871
Practice Telephone 3013737900
Enumeration Date 2012-08-07
Last Update Date 2016-04-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RI0200X Internal Medicine
Specialization: Infectious Disease
D0079070 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 24035 THREE NOTCH RD
City HOLLYWOOD
State MD
Zip Code 20636-4871

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154324440 Nrh-cpt Regional Rehab LLC Clinic/Center 24035 Three Notch Rd, Hollywood, MD 20636-4871 2005-05-31
1013537943 Sydney Deems Student in an Organized Health Care Education/Training Program 24035 Three Notch Rd, Hollywood, MD 20636-4871 2020-04-21
1477182293 Jewel Lucendia Ory Dietitian, Registered 24035 Three Notch Rd, Hollywood, MD 20636-4871 2020-04-03
1447887781 National Rehabiliation Hospital, Inc Clinic/Center 24035 Three Notch Rd, Hollywood, MD 20636-4871 2020-03-25
1083252613 Crystal Martirano Physical Therapy Assistant 24035 Three Notch Rd, Hollywood, MD 20636-4871 2019-12-13
1447894597 Neelesh Katkar Physical Therapist 24035 Three Notch Rd, Hollywood, MD 20636-4871 2019-11-01
1497398093 Rachel Leanne Bilo Physician Assistant 24035 Three Notch Rd, Hollywood, MD 20636-4871 2019-10-26
1467015560 Dawn Marie Drury Nurse Practitioner 24035 Three Notch Rd, Hollywood, MD 20636-4871 2019-04-15
1194249177 Mary Clark Magill Registered Nurse 24035 Three Notch Rd, Hollywood, MD 20636-4871 2017-08-01
1750802005 Yazan Yacoub Hanna Sawalha Student in an Organized Health Care Education/Training Program 24035 Three Notch Rd, Hollywood, MD 20636-4871 2017-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841708427 Lisa Early Case Manager/Care Coordinator 24077 John Cameron Way, Hollywood, MD 20636 2018-01-17
1326439365 Maryland Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 24288 Three Notch Rd., Hollywood, MD 20636 2015-02-12
1972810612 Kathleen Latona Boyles Pharmacist 24288 Three Notch Road, Hollywood, MD 20636 2010-09-01
1386825271 Vijaya Guduri Internal Medicine 24035 Three Notch Road, Shah Associates Md LLC, Hollywood, MD 20636 2007-11-19
1245397678 St Johns Pharmacy Inc Durable Medical Equipment & Medical Supplies 24288 Three Notch Rd, Hollywood, MD 20636 2007-01-03
1194824755 Julie Wilkening Chiropractor 24351 Mervell Dean Rd #115, Hollywood, MD 20636 2006-09-21
1225134281 Mary Rice Hughes Registered Nurse 44101 Airport View Dr., Hollywood, MD 20636 2006-09-16
1376654194 Suzanne Janis Pelz Counselor 44101 Airport View Drive, Hollywood, MD 20636 2006-08-31
1750549010 Iram A Khan Internal Medicine 24035 Three Notch Road, Hollywood, MD 20636 2008-05-22
1851473110 John Elliott Walker Registered Nurse 44101 Airport View Drive, Hollywood, MD 20636 2006-10-19
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Taxonomy Information

Taxonomy Code 207RI0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Infectious Disease

Taxonomy Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114998796 Carolyn Frances Denney Internal Medicine 4420 Sheridan Street, Suite A, Hollywood, FL 33021-3552 2006-01-31
1275533705 Roger Daniel Spitzer Internal Medicine 4700-k Sheridan St, Hollywood, FL 33021-3416 2005-07-27
1194724302 Zide Spitzer & Finlay Md Pa Internal Medicine 4420 Sheridan St, A, Hollywood, FL 33021-3552 2005-07-19
1356712277 South Broward Hospital District Internal Medicine 5647 Hollywood Blvd, Hollywood, FL 33021 2015-10-19
1285940155 Juan Carlos Lemos Ramirez Internal Medicine 5647 Hollywood Blvd, Hollywood, FL 33021-6325 2010-08-29
1780904581 Heysu Rubio-gomez Internal Medicine 5647 Hollywood Blvd, Hollywood, FL 33021-6325 2010-06-03
1215182720 Kenneth Kehn-yao Poon Internal Medicine 5647 Hollywood Blvd, Hollywood, FL 33021-6325 2008-11-25
1982756235 Nancy Leonor Garcia Internal Medicine 5201 Hollywood Blvd, Hollywood, Hollywood, FL 33021-6422 2007-01-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427659341 Horace Preston Holley Jr. Internal Medicine 5741 Meyer Ave, New Market, MD 21774-6322 2020-11-06
1205435328 Daydream Sunshine Initiative Internal Medicine 4000 Mitchellville Rd Ste A06, Bowie, MD 20716-3104 2020-10-20
1568089399 Thomas Laurence Richie Internal Medicine 9800 Medical Center Dr Ste A209, Rockville, MD 20850-6395 2020-06-27
1316580582 Theodore Elliott Nash Internal Medicine 9000 Rockville Pike Rm 424, Bethesda, MD 20892-0001 2019-10-21
1942772314 Richard T Kenney Internal Medicine 9917 Conestoga Way, Potomac, MD 20854-4715 2018-12-26
1528541695 Johns Hopkins Regional Physicians LLC Internal Medicine 2850 N Ridge Rd Ste 102, Ellicott City, MD 21043-3396 2018-09-13
1225523376 Barbara G Matthews Internal Medicine 125 Springbrook Dr, Silver Spring, MD 20904-2832 2018-06-29
1700385812 Michael Johnson Internal Medicine 4424 Stanford St, Chevy Chase, MD 20815-5208 2018-02-04
1154847887 John Gian Md LLC Internal Medicine 510 Upper Chesapeake Dr Ste 312, Bel Air, MD 21014-4328 2017-08-15
1740737931 Catherine Godfrey Internal Medicine 5601 Fishers Lane 9e49, Bethesda, MD 20892-0001 2016-09-06
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Competitor

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City HOLLYWOOD
Zip Code 20636

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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