Israel Juan Mantecon, | |
1723 Lucerne Ter Ste 100, Orlando, FL 32806-2916 | |
(407) 738-4200 | |
Not Available |
Full Name | Israel Juan Mantecon |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 39 Years |
Location | 1723 Lucerne Ter Ste 100, Orlando, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295739241 | NPI | - | NPPES |
374977100 | Medicaid | FL | |
ME54748 | Other | FL | MEDICAL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | ME54748 (Florida) | Primary |
207UN0901X | Nuclear Medicine - Nuclear Cardiology | ME54748 (Florida) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Orlando Health | Orlando, FL | Hospital |
Health Central | Ocoee, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cardiovascular Institute Of Central Florida Llc | 2769587146 | 57 |
Entity Name | Orlando Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669429577 PECOS PAC ID: 9537059084 Enrollment ID: O20040318000044 |
Entity Name | Cardiovascular Institute Of Central Florida Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679666598 PECOS PAC ID: 2769587146 Enrollment ID: O20070412000560 |
Mailing Address | Practice Location Address |
---|---|
Israel Juan Mantecon, 1723 Lucerne Ter Ste 100, Orlando, FL 32806-2916 Ph: (407) 738-4200 | Israel Juan Mantecon, 1723 Lucerne Ter Ste 100, Orlando, FL 32806-2916 Ph: (407) 738-4200 |
Vamsi Kiran Kodumuri, Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 258 S Chickasaw Trl Ste 203, Orlando, FL 32825 Phone: 407-303-6588 | |
Francoeur Cadet, D.O Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 232 N Orange Blossom Trl, Orlando, FL 32805 Phone: 407-428-5751 Fax: 407-447-7245 | |
Andrija Vidic, D.O Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 2415 N Orange Ave Ste 700, Orlando, FL 32804 Phone: 407-303-2474 Fax: 407-303-0680 | |
Albagir Mohamed Alarabi, M.D Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-303-5600 | |
Azin Azarfar, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 3400 Quadrangle Blvd, Orlando, FL 32817 Phone: 407-266-3627 Fax: 407-266-4911 | |
Zain Zamir, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 2501 N Orange Ave Ste 235, Orlando, FL 32804 Phone: 407-303-7169 | |
Dr. Arsenio R Rodriguez, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 1745 N Mills Avenue, Orlando, FL 32803 Phone: 407-841-7151 Fax: 407-648-2259 |