Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Manuel Vista Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285120113

Manuel Vista Jr., MD is an Internal Medicine in Bronx, New York. Qualified in 2014, 12 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group and offers telehealth. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2532 Grand Concourse
Bronx, NY 10458-4902
Phone: (718) 960-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 311196 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285120113
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 3, 2018
Last updated in NPPESJuly 6, 2021
Certification dateJuly 6, 2021
Mailing address2532 Grand Concourse, Bronx, NY 10458-4902

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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