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Deactivated NPI 1982911772 Deactivated / Inactive NPI Female Practitioner

Crystal Manzano

Licensed Practical Nurse • Juana Diaz, PR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Crystal Manzano has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 01, 2010
NPI Deactivation Date June 04, 2020
Total Practice Duration ~10 Years of Practice (2010 – 2020)

Professional Overview & Biography Verified Profile Summary

Crystal Manzano was a registered Licensed Practical Nurse practicing in Juana Diaz, PR. Throughout an active medical career spanning 10 years, Crystal Manzano provided care at the practice location at HC 3 BOX 11821 until profile deactivation on 2020-06-04.

Practice Location & Contact Primary Location

Practice Address

Hc 3 Box 11821

Juana Diaz, PR 007959577

Telephone 7873807601
Fax 7878444130

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Juana Diaz, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Juana Diaz, PR (149 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License PR 32651

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

32 Associated Practitioners
Mariely Maldonado

Counselor - Addiction (Substance Use Disorder)

NPI 1023324191
Marybel Ramos

Counselor - Addiction (Substance Use Disorder)

NPI 1043526247
Marisol Bonilla

Registered Nurse

NPI 1225345184
Lydia Rodriguez

Counselor - Addiction (Substance Use Disorder)

NPI 1255647863
Carmen Santiago

Registered Nurse

NPI 1275840126
Alejandro Valdes

Registered Nurse

NPI 1306153267

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2020

Record deactivated on June 04, 2020

NPI Profile Active September 01, 2010

NPI status registered as active in NPPES database

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Updated Practice Location September 01, 2010

Registered at HC 3 BOX 11821, JUANA DIAZ, PR 007959577 (Tel: 7873807601)

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Updated Business Mailing Address September 01, 2010

Registered at HC 3 BOX 11821, JUANA DIAZ, PR 007959577 (Tel: 7873807601)

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Provider Name / Credentials Updated September 01, 2010

Recorded as CRYSTAL MANZANO

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2010

Licensed Practical Nurse (License #32651 in PR)

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Initial NPI Registration & Enumeration September 01, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982911772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2010
Last Update: September 01, 2010
Deactivation Date: June 04, 2020

Mailing Address

Hc 3 Box 11821

Juana Diaz, PR 007959577

Phone: 7873807601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.