Provider Demographics
NPI:1609975796
Name:MANNS, RONALD A (DC)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:A
Last Name:MANNS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1078 CALLE JOSE E ARRARAS
Mailing Address - Street 2:MAYAGUEZ TERRACE
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-6601
Mailing Address - Country:US
Mailing Address - Phone:787-833-4510
Mailing Address - Fax:787-833-4510
Practice Address - Street 1:1078 CALLE JOSE E ARRARAS
Practice Address - Street 2:MAYAGUEZ TERRACE
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6601
Practice Address - Country:US
Practice Address - Phone:787-833-4510
Practice Address - Fax:787-833-4510
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2013-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR387111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRV-12244Medicare UPIN
5-8643Medicare PIN