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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
D0079070 | MD | Allopathic & Osteopathic Physicians |
Street Address |
24035 THREE NOTCH RD |
City | HOLLYWOOD |
State | MD |
Zip Code | 20636-4871 |
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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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 Code | 207RI0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Infectious Disease |
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. |
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 |
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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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.