Mariano Manuel Fondevila


Address: 1300 Coral Way, Suite 104, Miami, FL 33145-2934
Phone: 3058545631

Mariano Manuel Fondevila (NPI# 1730170077, PAC ID# 5597950576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1730170077
PAC ID by PECOS 5597950576
Professional Enrollment ID I20101116000909
Full Name Mariano Manuel Fondevila
Address 1300 Coral Way
Suite 104
Miami
FL 33145-2934
Phone Number 3058545631
Gender M
Graduation Year 1973
Primary Specialty GENERAL PRACTICE
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1300 Coral Way, Suite 104, Miami, FL 33145-2934 3058545631

Organization Information

Office Location

Street Address 1300 CORAL WAY
SUITE 104
City MIAMI
State FL
Zip 33145-2934

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Name Specialty Organization Address
George V Cioffi Nurse Practitioner 1300 Coral Way, Suite 208, Miami, FL 33145-2934

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Jorge A Loredo Osteopathic Manipulative Medicine 1312 Sw 27th Ave, Fl 3, Miami, FL 33145-1243
Jacqueline Ramirez Internal Medicine South Florida Internists Group Pa 1312 Sw 27th Ave, Fl 3, Miami, FL 33145-1243
Fred S Mann Ophthalmology Fred S. Mann, M.d., P.a. 1313 S W 27th Ave, Miami, FL 33145-1252
Abraham B Awad Optometry New Laser Eye Center of Miami Inc 1661 Sw 37th Ave, Miami, FL 33145-1754
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Competitor

Search similar physicians

City MIAMI
Zip Code 33145
Specialty GENERAL PRACTICE
City + Specialty MIAMI + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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