Provider Demographics
NPI:1730399437
Name:ESPINEL, MANUEL ARTURO (MD)
Entity type:Individual
Prefix:
First Name:MANUEL
Middle Name:ARTURO
Last Name:ESPINEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7837 MAHOGANY ROAD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437
Mailing Address - Country:US
Mailing Address - Phone:832-423-4043
Mailing Address - Fax:954-436-9146
Practice Address - Street 1:5258 LINTON BLVD STE 204
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-3535
Practice Address - Country:US
Practice Address - Phone:561-509-0979
Practice Address - Fax:561-501-4654
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME101725207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000274700Medicaid
AM466YMedicare UPIN