Healthcare Provider Details

I. General information

NPI: 1366845372
Provider Name (Legal Business Name): DANNY MANGUAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2014
Last Update Date: 02/25/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL DAMAS 2225 PONCE BYPASS PARRA MEDICAL CENTER SUITE 1003-1004
PONCE PR
00717
US

IV. Provider business mailing address

2225 PONCE BY PASS PARRA MEDICAL PLAZA 1003 1004
PONCE PR
00717
US

V. Phone/Fax

Practice location:
  • Phone: 787-492-0014
  • Fax:
Mailing address:
  • Phone: 787-492-0014
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number76748
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: