Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan a Mantilla MD PA

Organization Internal Medicine Physician · NPI 1962732388

Juan a Mantilla MD PA is an Internal Medicine Physician in Miami, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11400 N Kendall Dr Ste 204
Miami, FL 33176-1029
Phone: (305) 279-2222
Fax: (305) 501-2031
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME77038 (FL)

Record details

NPI number1962732388
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Mantilla — President · (305) 279-4222
NPI enumeratedJanuary 7, 2010
Last updated in NPPESJune 29, 2021
Certification dateJune 29, 2021
Mailing address11400 N Kendall Dr Ste 204, Miami, FL 33176-1029

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