Mangual, Jorge L

Mangual, Jorge L is an individual health care provider with primary practice located at 601 Elmwood Ave Box 604, Rochester NY 14642-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Mangual, Jorge L can be contacted via phone (585) 275-5892.

Contact Information

Primary practice address
601 Elmwood Ave Box 604 Rochester NY 14642-0001
Phone: (585) 275-5892
Fax: (585) 756-0169
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 488210 New York

Profile Details

NPI number 1902956311
LBN Legal business name Mangual, Jorge L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Nov 10th, 2007 - about 17 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.

Request for update

Popular Providers