Gonzalo Mantilla, M.D

ActiveIndividual ProviderSpecialty not listed
NPI issued: July 12, 2005

Quick Facts

NPI Number
1629076799
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy2080N0001X — Specialty not listed
Phone
(770) 732-6007
StateGA

NPI Validation Status: Verified

Valid 10-digit NPI number (1629076799)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (July 12, 2005)
Data source: CMS NPPES

Provider Overview

GONZALO MANTILLA, M.D is a Healthcare provider based in Marietta, GA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1629076799
Provider TypeIndividual Provider
GenderMale
CredentialM.D
StatusActive
Enumeration DateJuly 12, 2005

Practice Location

CityMarietta
StateGA
ZIP Code30067-7803
Phone(770) 732-6007

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code2080N0001X
License StateGA

Mailing Address

CityMarietta
StateGA
ZIP Code30067-7803
Phone(770) 732-6007
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1629076799 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1629076799for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1629076799 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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6,313
Specialty not listed Providers in the US

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People Also Ask

What is Gonzalo Mantilla's NPI number?
Gonzalo Mantilla's NPI number is 1629076799, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Gonzalo Mantilla's NPI currently active?
Yes, Gonzalo Mantilla's NPI status is Active as of the latest CMS NPPES database updates.
What does Gonzalo Mantilla specialize in?
Gonzalo Mantilla specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 2080N0001X.
Where does Gonzalo Mantilla practice?
Gonzalo Mantilla practices in Marietta, GA 30067-7803.
When was Gonzalo Mantilla's NPI issued?
Gonzalo Mantilla's NPI was issued on July 12, 2005.
What is Gonzalo Mantilla's provider type?
Gonzalo Mantilla is registered as an Individual Provider under CMS NPI Type 1.