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

Jose Oscar Mantilla-Rivas

Individual provider Professional Counselor · NPI 1619458676

Jose Oscar Mantilla-Rivas is a Psychiatry in Jacksonville, Florida. Qualified in 2017, 9 years ago. Practices with Allegheny Clinic, a 2,300-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
9
Licensed in
PA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

6501 Arlington Expressway B105#7069
Jacksonville, FL 32211-5779
Phone: (904) 201-9110
Fax: (757) 432-3134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence MD477620 (PA)
Professional Counselor Taxonomy 101YP2500X · Licence PC009876 (PA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence MT215100 (PA)

Record details

NPI number1619458676
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 27, 2018
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Allegheny Clinic — 2300 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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