Individual
ISRAEL GUERRERO MANTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
(238) 278-0404
Mailing address
1550 BARKLEY CIR, FORT MYERS, FL 33907-4539
(239) 938-2000
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
ME121406
FL
207RI0011X
Interventional Cardiology Physician
Primary
ME121406
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024189600
—
FL
01
—
13579311
CAQH
—
01
—
324809
ABIM
—
01
—
IF548Z
PTAN
—
Enumeration date
12/27/2010
Last updated
04/17/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us