Provider Demographics
NPI:1003006644
Name:AQUINO, MANUEL D (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:D
Last Name:AQUINO
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 1:9400 E ILIFF AVE APT 41
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-3483
Mailing Address - Country:US
Mailing Address - Phone:720-934-4537
Mailing Address - Fax:
Practice Address - Street 1:9400 E ILIFF AVE APT 41
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-3483
Practice Address - Country:US
Practice Address - Phone:720-934-4537
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010342192085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology