Provider Demographics
NPI:1942474226
Name:MANUEL CARRIL DC PA
Entity Type:Organization
Organization Name:MANUEL CARRIL DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:CARRIL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-477-7976
Mailing Address - Street 1:8726 NW 26TH ST
Mailing Address - Street 2:SUITE 16
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33172-1627
Mailing Address - Country:US
Mailing Address - Phone:305-477-7976
Mailing Address - Fax:
Practice Address - Street 1:8726 NW 26TH ST
Practice Address - Street 2:SUITE 16
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1627
Practice Address - Country:US
Practice Address - Phone:305-477-7976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6221111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty