JOSE ALBERTO MANTILLA APRN FNP-C NPI 1184511081

NPI Information

  • NPI: 1184511081
  • Provider Name: JOSE ALBERTO MANTILLA, APRN, FNP-C
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 1530 LEE BLVD STE 1300
    LEHIGH ACRES, FL
    ZIP 33936
  • Phone: (239) 674-9377

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NPI Details

Jose Alberto Mantilla, APRN, FNP-C is a family nurse practitioner in Lehigh Acres, FL. Jose Alberto Mantilla, APRN, FNP-C NPI is 1184511081. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1530 LEE BLVD STE 1300
LEHIGH ACRES, FL
ZIP 33936-887
Phone: (239) 674-9377

The enumeration date for this NPI number is 6/23/2025 and was last updated on 6/23/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily11040301FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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