Mantilla, Penelope

Mantilla, Penelope is an sole proprietor health care provider with primary practice located at 10500 Nw 74Th St Apt 2-102 , Medley FL 33178-2400. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mantilla, Penelope can be contacted via phone (312) 672-2209.

Contact Information

Primary practice address
10500 Nw 74Th St Apt 2-102 Medley FL 33178-2400
Phone: (312) 672-2209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X

Profile Details

NPI number 1215526165
LBN Legal business name Mantilla, Penelope
Credentials SA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 14th, 2021
Last updated Jan 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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