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Israel Juan Mantecon
Nuclear Cardiology Physician in Orlando, Florida
NPI 1295739241

Israel Juan Mantecon is a Nuclear Cardiology Physician based in Orlando, FL and is specialized in Nuclear Cardiology. Israel Juan Mantecon practices in Orlando, FL. The NPI Number for Israel Juan Mantecon is 1295739241 and holds a License No. ME54748 (Florida).

The current practice location address for Israel Juan Mantecon is 1723 Lucerne Ter Ste 100, Orlando, FL and can be reached out via phone at 407-738-4200.

Location: 1723 Lucerne Ter Ste 100, Orlando, FL, 32806-2916
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295739241
Provider Name
Israel Juan Mantecon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1723 Lucerne Ter Ste 100, Orlando, FL, 32806-2916
Phone Number
407-738-4200
Fax Number
Provider Enumeration Date
06/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
374977100 05 FL
ME54748 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1723 Lucerne Ter Ste 100
City
Orlando
State
Florida
Zip
32806-2916
Phone Number
407-738-4200
Fax Number
person
Provider Business Mailing Address Details
Address
1723 Lucerne Ter Ste 100
City
Orlando
State
Florida
Zip
32806-2916
Phone Number
407-738-4200
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
ME54748 (Florida)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Nuclear Medicine
Speciality
Nuclear Cardiology
Taxonomy
207UN0901X
License No.
ME54748 (Florida)
Definition
A nuclear medicine physician who specializes in nuclear cardiology.
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