National Provider Identifier
Jorge L Mangual, CRNA
Jorge L Mangual, CRNA is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist in Rochester, NY and a listed phone number of (585) 275-5892.
Profile Overview
- NPI
- 1902956311
- Provider Type
- Individual
- Primary Specialty
- Certified Registered Nurse Anesthetist
- Enumeration Date
- January 11, 2007
- Last Updated
- November 10, 2007
Practice Location
- 601 Elmwood Ave
- Box 604
- Rochester, NY 14642-0001
Phone: (585) 275-5892
Specialties
- Certified Registered Nurse Anesthetist (367500000X)
Full Record
- NPI
- 1902956311
- Entity Type
- Individual
- Last Name
- Mangual
- First Name
- Jorge
- Middle Name
- L
- Credential
- CRNA
- Mailing Street Address
- 601 Elmwood Ave
- Mailing Address Line 2
- Box 604
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14642-0001
- Mailing Country
- US
- Mailing Phone
- (585) 275-5982
- Practice Street Address
- 601 Elmwood Ave
- Practice Address Line 2
- Box 604
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14642-0001
- Practice Country
- US
- Practice Phone
- (585) 275-5892
- Practice Fax
- (585) 756-0169
- Enumeration Date
- January 11, 2007
- Last Updated
- November 10, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Certified Registered Nurse Anesthetist (367500000X)