MEDICARE: MANUEL BARQUERO DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH15496	FL

General Provider Information

NPI Number	:	1114869856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MANUEL BARQUERO DC

Provider Business Mailing Address
First Line	:	830 AIRPORT RD APT 207
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7459
Country	:	US
Telephone Number	:	786-325-7351
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 AIRPORT RD APT 207
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32128-7459
Country	:	US
Telephone Number	:	786-325-7351
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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Directions to “ MANUEL BARQUERO DC” Practice Location

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