Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
JUAN A MANTILLA MD PA
Active
Organization
JUAN A MANTILLA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ALBERTO MANTILLA M.D. (PRESIDENT)
(305) 279-4222
Entity
Organization
Contact information
Practice address
11400 N KENDALL DR STE 204, MIAMI, FL 33176-1029
(305) 279-2222
(305) 501-2031
Mailing address
11400 N KENDALL DR STE 204, MIAMI, FL 33176-1029
(305) 279-2222
(305) 501-2031
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME77038
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
266223000
—
FL
Enumeration date
01/07/2010
Last updated
06/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up