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CRISTIAN MANTILLA
NPI 1598342032
Student in an Organized Health Care Education/Training Program in New York, NY

Active since March 29, 2021PECOS Enrolled
1901 1ST AVE RM 15B-1, NEW YORK, NY 10029(212) 423-6271 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Apr 22, 2022, Mar 29, 2021 (2 updates tracked since 2021).

About Cristian Mantilla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRISTIAN MANTILLA (NPI 1598342032) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Jaun.

NPPES Registry Identity

NPI1598342032
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCRISTIAN MANTILLA
Location Address1901 1ST AVE RM 15B-1New York, NY 10029-7494
Mailing Address1901 1st Ave Rm 15b-1New York, NY 10029-7494 · (212) 423-6271
Phone(212) 423-6271
Sole ProprietorYes
Enumeration DateMarch 29, 2021
Last NPPES UpdateApril 22, 20222 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
✔ NPI 1598342032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1901 1ST AVE RM 15B-1, New York, NY 10029
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Secondary Practice Location 1

Location 1Monacillo Street 2116 Centro Medico De Puerto RicoSan Jaun, PR 00922-2116 · Phone (787) 758-2525

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cristian Mantilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cristian Mantilla's NPI number?

The NPI number for Cristian Mantilla is 1598342032. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Cristian Mantilla located?

Cristian Mantilla practices at 1901 1st Ave Rm 15b-1, New York, NY 10029. The listed phone number is (212) 423-6271.

What is Cristian Mantilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cristian Mantilla enrolled in Medicare?

Yes. Cristian Mantilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cristian Mantilla was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.