Provider Demographics
NPI:1598653727
Name:MANRIQUE MONTESINOS, JOSELY GABRIELA (PT)
Entity type:Individual
Prefix:
First Name:JOSELY
Middle Name:GABRIELA
Last Name:MANRIQUE MONTESINOS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3606 NW 5TH AVE APT 1209
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33127-3173
Mailing Address - Country:US
Mailing Address - Phone:786-878-2936
Mailing Address - Fax:
Practice Address - Street 1:3575 NE 207TH ST STE B17
Practice Address - Street 2:
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-3705
Practice Address - Country:US
Practice Address - Phone:305-306-8376
Practice Address - Fax:305-306-8373
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLPT43087225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist