Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PENELOPE MANTILLA, SA-C
Active Sole ProprietorPENELOPE MANTILLA, SA-C is a Surgical Physician Assistant healthcare provider located in MEDLEY, Florida. NPI 1215526165 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MEDLEY, FL
Registration Details
- NPI Number
- 1215526165
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 14, 2021 (5.5679797835121 yrs)
- Last Updated
- Jan 14, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
10500 NW 74TH ST APT 2-102MEDLEY, FL, 331782400Browse FL providers · Browse ZIP 33178
- Phone
- 3126722209
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.