Individual provider · Type 1 NPI

Joseph Tobias Banuelos Mancilla, MD

Student in an Organized Health Care Education/Training Program · Pittsburgh, PA

NPI number 1568087906 Active

Practice location

4401 Penn Ave Ste 7107
Pittsburgh, PA 15224-1334

Call (412) 692-8614 Map

Fax (412) 692-8614

Mailing address

3600 Forbes Ave Ste 14
Pittsburgh, PA 15213-3410

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1568087906

Joseph Tobias Banuelos Mancilla, MD's National Provider Identifier is 1568087906, issued on Jun 11, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pittsburgh, PA. The record was last updated on Jul 23, 2025.