Bacallao, Manuel Dejesus

Bacallao, Manuel Dejesus is an sole proprietor health care provider with primary practice located at 8525 Sw 92 Street Suite B 4, Miami FL 33156-7374. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bacallao, Manuel Dejesus can be contacted via phone (305) 279-7446.

Contact Information

Primary practice address
8525 Sw 92 Street Suite B 4 Miami FL 33156-7374
Phone: (305) 279-7446
Fax: (305) 598-8753
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME38837 Florida

Profile Details

NPI number 1386603462
LBN Legal business name Bacallao, Manuel Dejesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2006
Last updated Aug 3rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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