Provider Demographics
NPI:1992700363
Name:MANUBENS, CLAUDIO (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIO
Middle Name:
Last Name:MANUBENS
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:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33845-0537
Mailing Address - Country:US
Mailing Address - Phone:407-645-1847
Mailing Address - Fax:321-274-0246
Practice Address - Street 1:2239 NORTH BLVD W
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33837-8990
Practice Address - Country:US
Practice Address - Phone:407-645-1847
Practice Address - Fax:321-274-0246
Is Sole Proprietor?:No
Enumeration Date:2005-06-14
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME67898207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL13461OtherFHHS PROV ID #
FL1882089017OtherCIGNA PROV ID #
FL598010OtherHUMANA/CHOICECARE PROV ID
FL24911OtherHEALTHEASE MCD PROV ID #
FL27172OtherBCBS OF FL PROV ID #
FL060068680OtherRAILROAD MEDICARE
FL872616OtherFIRST HEALTH PROV ID #
FL1729689OtherUNITED H'CARE PROV ID #
FL201815OtherAMERIGROUP MCD PROV ID #
FL24911OtherSTAYWELL MCD PROV ID #
FL5842303OtherAETNA PROVIDER ID
FL175483OtherGREAT WEST PROV ID #
FL24911OtherWELLCARE PROV ID #
FL378344800Medicaid
FL24911OtherSTAYWELL MCD PROV ID #
E78221Medicare UPIN