De La Puerta, Manuel

De La Puerta, Manuel is an individual health care provider with primary practice located at 2767 Nw 26Th Pl , Gainesville FL 32605-2842. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. De La Puerta, Manuel can be contacted via phone (352) 316-4843.

Contact Information

Primary practice address
2767 Nw 26Th Pl Gainesville FL 32605-2842
Phone: (352) 316-4843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X ME67324 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME67324 Florida

Profile Details

NPI number 1508851577
LBN Legal business name De La Puerta, Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Apr 28th, 2023 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1508851577 NPPES
Florida MEDICAID 261472300

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