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

Dr. Jose Ignacio Mantilla, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1114661204

Dr. Jose Ignacio Mantilla, MD is an Internal Medicine in Fort Lauderdale, Florida. Qualified in 2022, 4 years ago. Practices with Florida Hospital Medicine Services, LLC, a 269-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone: (954) 355-4400
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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 ME174410 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (FL)

Record details

NPI number1114661204
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 25, 2022
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Florida Hospital Medicine Services, Llc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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