Manzano Matos, Andy Raul
Manzano Matos, Andy Raul is an sole proprietor health care provider with primary practice located at 11329 West Ave , San Antonio TX 78213-1341. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Manzano Matos, Andy Raul can be contacted via phone (210) 886-8666.Contact Information
Primary practice address
11329 West Ave
San Antonio TX 78213-1341
Phone: (210) 886-8666
Fax: (210) 886-8667
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1551 | Puerto Rico |
Profile Details
| NPI number | 1043913163 |
|---|---|
| LBN Legal business name | Manzano Matos, Andy Raul |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2023 |
| Last updated | Apr 25th, 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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