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

Mr. Nicolas D Garzon Mancera, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659125284

Mr. Nicolas D Garzon Mancera, MD is a Student in an Organized Health Care Education/Training Program in Miami, Florida. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
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

1611 NW 12th Ave Fl 33136
Miami, FL 33136-1005
Phone: (305) 355-1122
Show map & directions

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

Additional practice locations (1)

  • 115 Cass Ave, Woonsocket, RI 02895-4731 — (401) 769-4100

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1659125284
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2024
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025

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