Costa, Manuel Emilio
Costa, Manuel Emilio is an sole proprietor health care provider with primary practice located at 791 E 48Th St , Hialeah FL 33013-1959. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Costa, Manuel Emilio can be contacted via phone (305) 769-0252.Contact Information
Primary practice address
791 E 48Th St
Hialeah FL 33013-1959
Phone: (305) 769-0252
Fax: (305) 953-0707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN 8736 | Florida |
Profile Details
| NPI number | 1659495307 |
|---|---|
| LBN Legal business name | Costa, Manuel Emilio |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659495307 | NPPES |
| Florida | MEDICAID | 071495000 |
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