MR. NICOLAS D GARZON MANCERA MD
NPI 1659125284
Student in an Organized Health Care Education/Training Program in Miami, FL
About Mr. Nicolas D Garzon Mancera Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. NICOLAS D GARZON MANCERA MD (NPI 1659125284) is an individual student in an organized health care education/training program in Miami, Florida and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Woonsocket.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Nicolas D Garzon Mancera Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
MIAMI, FL 33136
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicolas Garzon Mancera's NPI number?
The NPI number for Nicolas Garzon Mancera is 1659125284. It was assigned to this individual provider in the NPPES registry on April 11, 2024.
Where is Nicolas Garzon Mancera located?
Nicolas Garzon Mancera practices at 1611 NW 12th Ave Fl 33136, Miami, FL 33136. The listed phone number is (305) 355-1122.
What is Nicolas Garzon Mancera's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicolas Garzon Mancera enrolled in Medicare?
Yes. Nicolas Garzon Mancera is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicolas Garzon Mancera was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Nicolas D Garzon Mancera, MD · NPI 1659125284
Student in an Organized Health Care Education/Training Program provider in Miami, Florida. Individual provider, active in the CMS NPPES registry since April 11, 2024.
## Identity
- **NPI:** 1659125284 (Entity type: Individual)
- **Enumerated:** April 11, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1611 NW 12TH AVE FL 33136, Miami, FL 33136-1005
- **Phone:** (305) 355-1122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1659125284) · Data from the CMS NPPES public registry.