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

Mr. Manuel Dejesus Bacallao, MD

Individual provider Family Medicine Physician · NPI 1386603462

Mr. Manuel Dejesus Bacallao, MD is a Family Medicine Physician in Miami, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

8525 SW 92 St Ste B 4
Miami, FL 33156-7374
Phone: (305) 279-7446
Fax: (305) 598-8753
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME38837 (FL)

Record details

NPI number1386603462
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 20, 2006
Last updated in NPPESAugust 3, 2010

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