=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942617824
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DR. MANUEL GABRIEL CURRAS
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/12/2014
-----------------------------------------------------
Last Update Date | 06/06/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | ZA1 CALLE 36
-----------------------------------------------------
City | BAYAMON
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00961-3929
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-785-2694
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10 VIA PEDREGAL APT 4304
-----------------------------------------------------
City | TRUJILLO ALTO
-----------------------------------------------------
State | PR
-----------------------------------------------------
Zip | 00976-6233
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 787-619-2482
-----------------------------------------------------
Fax | 787-545-4823
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | 2183PA
-----------------------------------------------------
License Number State | PR
-----------------------------------------------------