JUAN A MANTILLA MD PA (NPI# 1962732388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962732388 |
| Entity Type | Organization |
| Organization Name | JUAN A MANTILLA MD PA |
| Practice Address |
8501 Sw 124th Ave Suite: 202 Miami FL 33183-4627 |
| Practice Telephone | 3052794222 |
| Practice Fax Number | 3052790252 |
| Mailing Telephone | 3052794222 |
| Mailing Fax Number | 3052790252 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2010-07-22 |
| Authorized Official Name | DR. JUAN ALBERTO MANTILLA (PRESIDENT) |
| Authorized Official Telephone | 3052794222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME77038 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 266223000 | 05 |
| Street Address |
8501 SW 124TH AVE SUITE: 202 |
| City | MIAMI |
| State | FL |
| Zip Code | 33183-4627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481022 | Ann E Ballen | Specialist | 8501 Sw 124th Ave, 109, Miami, FL 33183 | 2005-07-19 |
| 1235631946 | Yanet Villalonga | Nurse Practitioner | 8501 Sw 124th Ave, Miami, FL 33183-4627 | 2018-03-08 |
| 1134576465 | Carlos Candales | Nurse Practitioner | 8501 Sw 124th Ave, Suite 102-a, Miami, FL 33183-4627 | 2016-05-17 |
| 1912392580 | Obgyn Comprehensive Care, P.a. | Obstetrics & Gynecology | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2015-04-01 |
| 1780078477 | Kenneth B Shephard | Internal Medicine | 8501 Sw 124th Ave, 206, Miami, FL 33183-4627 | 2015-03-20 |
| 1215357827 | Laura Ann Briz | Nurse Practitioner | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2014-04-22 |
| 1295163509 | Janel Felipe | Optometrist | 8501 Sw 124th Ave, Suite 109, Miami, FL 33183-4627 | 2013-10-23 |
| 1801136734 | Susan Fox D.o., Pa | Obstetrics & Gynecology | 8501 Sw 124th Ave, Suite 211, Miami, FL 33183-4627 | 2013-03-01 |
| 1548546682 | Kendall Optical | Health Maintenance Organization | 8501 Sw 124th Ave, Suite 109a, Miami, FL 33183-4627 | 2011-11-02 |
| 1265717102 | Juan Carlos Silva | Technician/Technologist | 8501 Sw 124th Ave, Suite 109a, Miami, FL 33183-4627 | 2011-10-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700490026 | Katya Barbara Machado | Behavior Technician | 6500 Kendall Lake Dr, Apt 101, Miami, FL 33183 | 2020-09-03 |
| 1922631969 | Kety Garcia Gonzalez | Nurse Practitioner | 13327 Sw 61st Ter, Miami, FL 33183 | 2020-02-18 |
| 1063066850 | Jose Roberto Santamaria Castro | Specialist/Technologist, Other | 5914 Sw 133rd Ct, Miami, FL 33183 | 2019-07-30 |
| 1821655010 | Maidelyn Arencibia | Behavior Technician | 6416sw131st Path Apt 1706, Miami, FL 33183 | 2019-05-22 |
| 1386111672 | Gregory Parker Fisk | Pharmacist | 14030 Sw 74 St, Miami, FL 33183 | 2018-10-25 |
| 1861979106 | Jacqueline Porras | Nurse Practitioner | 8200 Sw 117th Ave Ste 316, Miami, FL 33183 | 2018-07-19 |
| 1447750591 | My Own Therapist Pllc | Clinic/Center | 14202 Sw 62nd St, Miami, FL 33183 | 2018-02-15 |
| 1316455744 | Maibel D Gomez Del Vallin | Behavior Technician | 8730 Sw 133rd Avenue Rd Apt 317, Miami, FL 33183 | 2018-01-19 |
| 1093225906 | Martha D Gonzalez Griego | Behavior Technician | 8500 Sw 133rd Avenue Rd Apt 321, Miami, FL 33183 | 2017-10-05 |
| 1770007353 | Dipsy Trejo Leal | Behavioral Analyst | 13026 Sw 68 Ln, Miami, FL 33183 | 2017-07-26 |
| Find all providers in zip 33183 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235756297 | Floridian Physicians | Internal Medicine | 4960 Sw 72nd Ave Ste 206, Miami, FL 33155-5549 | 2020-06-25 |
| 1437773918 | Elite Med Center Corp | Internal Medicine | 13155 Sw 134th St Ste 221, Miami, FL 33186-4489 | 2020-06-01 |
| 1841832359 | Haytham Elgammal | Internal Medicine | 7031 Sw 62nd, Miami, FL 33143 | 2019-10-16 |
| 1538714282 | Centrum Medical Holdings, LLC | Internal Medicine | 7600 Nw 19th St Ste 400, Miami, FL 33126-1219 | 2019-08-08 |
| 1659933182 | South Florida Healthcare Practitioners | Internal Medicine | 1040 Biscayne Blvd Apt 1506, Miami, FL 33132-1725 | 2019-07-04 |
| 1134781263 | Surgiclear | Internal Medicine | 1011 Ives Dairy Rd Ste 107, Miami, FL 33179-2536 | 2019-06-28 |
| 1811557523 | Luis Rene Velazquez | Internal Medicine | 8520 Sw 149th Ave Apt 1015, Miami, FL 33193-1446 | 2019-06-14 |
| 1881252088 | Miguel A Mujica-baella Md Pa | Internal Medicine | 15590 Sw 42nd Ln, Miami, FL 33185-4209 | 2019-06-03 |
| 1699249177 | Munia and Associates LLC | Internal Medicine | 9195 Sw 72nd St Ste 210, Miami, FL 33173-3488 | 2019-01-17 |
| 1174094361 | I.vizion | Internal Medicine | 7341 Nw 32nd Ave, Miami, FL 33147-5801 | 2018-12-16 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.