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General NPI Number Information
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NPI Number | 1760821565
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Entity Type | Individual
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Provider Name | MARIANA CRUZ MANZANO M.D
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Gender | Female
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 369 CALLE DE DIEGO TORRE SAN FRANCISCO SUITE 403
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City | SAN JUAN
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-998-3400
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Fax | 787-998-3410
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Provider Business Mailing Address
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Address Line | CONDOMINIO TORRE DEL CARDENAL 675 CALLE S CUEVAS, SPH 16
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City | SAN JUAN
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State | PR
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Zip | 00918-0001
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Country | US
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Telephone | 787-392-1680
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Fax | 787-998-3410
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01078809A
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License Number State | IN
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