Rolando Manalo Beredo in Jackson - Internal Medicine

Rolando Manalo Beredo - NPI 1093704322

Rolando Manalo Beredo is a Internal Medicine in Jackson, Michigan. Rolando Manalo Beredo practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Rolando Manalo Beredo is 1093704322. The last update date is 2007-07-08.

Rolando Manalo Beredo's current location address is Po Box 1414, Jackson, Michigan. You can contact this provider via phone number 5177886336 and fax number 5177889035. The mailing address for Rolando Manalo Beredo is Po Box 1414, Jackson, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Rolando Manalo Beredo
Address Po Box 1414, Jackson, Michigan
Phone Number 5177886336
Fax Number 5177889035
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1093704322
Provider Enumeration Date 2005-10-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 1414
City Jackson
State Michigan (MI)
Post Code 492041414
Phone Number 5177886336
Fax Number 5177889035

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No RB060312
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
420017 MI PHP
C1796 MI MCARE
1103863092 MI BCBS OF MICHIGAN
4179560 MI --

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FAQs about Rolando Manalo Beredo

What is the unique 10-digit identifier code assigned to Rolando Manalo Beredo by the Centers for Medicare & Medicaid Services?

The Rolando Manalo Beredo has been issued the NPI (National Provider Identifier) 1093704322 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Rolando Manalo Beredo's facilities are geographically located?

The facilities of Rolando Manalo Beredo are physically situated at the following location: Po Box 1414, Jackson, MI, 492041414.

What is the Rolando Manalo Beredo's specialty and taxonomy code?

The Rolando Manalo Beredo's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.

On what date did the Rolando Manalo Beredo receive the assignment of its 1093704322 from the Centers for Medicare & Medicaid Services?

The Rolando Manalo Beredo was issued its 1093704322 by the Centers for Medicare & Medicaid Services on 2005-10-19.

As of what date was the information pertaining to Rolando Manalo Beredo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Rolando Manalo Beredo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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