Provider Demographics
NPI:1790753713
Name:GARRATON, MANUEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:
Last Name:GARRATON
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:BOX 965
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00605
Mailing Address - Country:US
Mailing Address - Phone:787-891-2925
Mailing Address - Fax:787-891-2925
Practice Address - Street 1:2 CALLE PROGRESO
Practice Address - Street 2:AGUADILLA MEDICAL BUILDING SUITE 203
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5000
Practice Address - Country:US
Practice Address - Phone:787-891-2925
Practice Address - Fax:787-891-2925
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4380207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR95407Medicare ID - Type Unspecified
PRD08681Medicare UPIN