| Doctor Name: | RAUL B MANES |
| NPI Number: | 1316061542 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD LIC 4548 BOARD OF |
| License Number: | 4548 |
| Business Practice Address: | 22 Baldorioty St Coamo, PR - 007693119 |
| Business Phone Number: | 7878252240 |
| Business Fax Number: | 7878252240 |
| Mailing Address: | 22 Baldorioty St, COAMO |
| State: | PR |
| Postal Code: | 007693119 |
| Phone Number: | 7878252240 |
| Fax Number: | 7878252240 |
| NPI Enumeration Date: | 03/16/2007 |
| NPI Last Update Date: | 05/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |