Penelope Mantilla, SA-C
Penelope Mantilla, SA-C is a Surgical Assistant in Medley, Florida. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
10500 NW 74th St Apt 2-102Medley, FL 33178-2400
Phone: (312) 672-2209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Surgical Physician Assistant (primary) | Taxonomy 363AS0400X |
|---|---|
| Surgical Assistant | Taxonomy 246ZC0007X |
Record details
| NPI number | 1215526165 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SA-C |
| Sole proprietor | Yes |
| NPI enumerated | January 14, 2021 |
| Last updated in NPPES | January 14, 2021 |
| Certification date | January 14, 2021 |
Other providers in Medley
-
Pedro Hoyos
10560 NW 74th St, Medley, FL 33178 · (786) 554-7303
-
Jose German Medina, SA-C
10881 NW 75th St, Medley, FL 33178-2206 · (786) 477-1159