Provider Demographics
NPI:1578599080
Name:AMARIS, MANUEL ALBERTO (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:ALBERTO
Last Name:AMARIS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1600 SW ARCHER ROAD
Mailing Address - Street 2:PO BOX 100214
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32610-0214
Mailing Address - Country:US
Mailing Address - Phone:352-273-9472
Mailing Address - Fax:352-627-9002
Practice Address - Street 1:1600 SW ARCHER ROAD
Practice Address - Street 2:DIVISION OF GASTROENTEROLOGY BOX 100214
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32610-0214
Practice Address - Country:US
Practice Address - Phone:352-273-9472
Practice Address - Fax:352-627-9002
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2016-04-28
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Provider Licenses
StateLicense IDTaxonomies
IL036113752207R00000X
IL036-113752207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL016936700Medicaid
IL036113752Medicaid
FL016936700Medicaid
FLIN348ZMedicare PIN