JUAN A MANTILLA MD PA
NPI 1962732388
Internal Medicine in Miami, FL

Active since January 07, 2010CLIA 10D1008941 · Waiver
11400 N KENDALL DR STE 204, MIAMI, FL 33176(305) 279-2222(305) 501-2031 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Juan A Mantilla Md Pa NPPES

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

JUAN A MANTILLA MD PA (NPI 1962732388) is a healthcare organization registered as an internal medicine in Miami, Florida and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through February 2, 2027 and lists Juan Alberto Mantilla, President, as its authorized official.

NPPES Registry Identity

NPI1962732388
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJUAN A MANTILLA MD PA
Location Address11400 N KENDALL DR STE 204Miami, FL 33176-1029
Mailing Address11400 N Kendall Dr Ste 204Miami, FL 33176-1029 · (305) 279-2222 · Fax (305) 501-2031
Fax(305) 501-2031
Organization SubpartNo
Authorized OfficialJuan Alberto MantillaPresident · (305) 279-4222
Enumeration DateJanuary 7, 2010
Last NPPES UpdateJune 29, 2021
NPPES CertifiedJune 29, 2021
NPI 1962732388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in FL · ME77038
Definition

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.

11400 N KENDALL DR STE 204, Miami, FL 33176

Other Identifiers 1

Medicaid266223000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1008941

Juan A Mantilla MD · Miami, FL
Active · expires Feb 2, 2027
CLIA Number10D1008941
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2025
Certificate Expiration DateFebruary 2, 2027
Laboratory DirectorJuan A. Mantilla
Laboratory Phone(305) 279-4222
Laboratory LocationJuan A Mantilla MD11400 N Kendall Dr Ste 204, Miami, FL 33176
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
11400 N KENDALL DR STE 204
MIAMI, FL 33176
Internal Medicine
11400 N KENDALL DR STE 204
MIAMI, FL 33176
Nurse Practitioner (Psychiatric/Mental Health)
11400 N KENDALL DR STE 204
MIAMI, FL 33176

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 Juan A Mantilla MD PA's NPI number?

The NPI number for Juan A Mantilla MD PA is 1962732388. It was assigned to this organization in the NPPES registry on January 7, 2010.

Where is Juan A Mantilla MD PA located?

Juan A Mantilla MD PA is located at 11400 N Kendall Dr Ste 204, Miami, FL 33176. The listed phone number is (305) 279-2222.

What is Juan A Mantilla MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Juan A Mantilla MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1008941) is associated with this NPI, valid through February 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Juan A Mantilla MD PA accept?

Health plans from AvMed list Juan A Mantilla MD PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Juan A Mantilla MD PA was last updated on June 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.