Healthcare Provider Details

I. General information

NPI: 1083559579
Provider Name (Legal Business Name): MANUEL LINARES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 FORBES AVE STE 140P
PITTSBURGH PA
15213-3410
US

IV. Provider business mailing address

471 NE 83RD ST APT 419
MIAMI FL
33138-4177
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-5815
  • Fax:
Mailing address:
  • Phone: 786-340-3159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberMT236329
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: