Individual provider · Type 1 NPI

Jose Ignacio Mantilla, MD

Internal Medicine Physician · Fort Lauderdale, FL

NPI number 1114661204 Active

Practice location

1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510

Mailing address

9815 NW 4th Ter
Miami, FL 33172-4009

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Internal Medicine Physician Primary 207R00000XME174410 (FL)

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1114661204

Jose Ignacio Mantilla, MD's National Provider Identifier is 1114661204, issued on Apr 25, 2022. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 30, 2025.