Dr. Gonzalo Mantilla
M.D. | Pediatric Neonatal-Perinatal Medicine | Male
Dr. Gonzalo Mantilla, M.D. is a Marietta, Georgia based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Dr. Gonzalo Mantilla is
777 Franklin Gtwy Se, Marietta, Georgia - 30067-7803. He can be contacted on phone at
770-732-6007.
Dr. Gonzalo Mantilla is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Gonzalo Mantilla is
1629076799 which was assigned by NPPES on 12 Jul, 2005 and it was last updated on 18 May, 2023.
Dr. Gonzalo Mantilla license number is
ME 22858 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in Florida.
Dr. Gonzalo Mantilla is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Dr. Gonzalo Mantilla basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Dr. Gonzalo Mantilla |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. Gonzalo Mantilla address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 777 Franklin Gtwy Se
Marietta, GA, 30067-7803
United States |
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| Phone Number : | 770-732-6007 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1629076799 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 12 Jul, 2005 |
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| Last Updated On : | 18 May, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Gonzalo Mantilla are as mentioned. Primary taxonomy code for Dr. Gonzalo Mantilla, M.D. is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | ME 22858 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Gonzalo Mantilla such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 10926 | Other (non-Medicare) | FL | Blue Cross Blue Shield |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 777 Franklin Gtwy Se
Marietta, GA, 30067-7803
United States |
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| Phone Number : | 770-732-6007 |
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Business Location:
Patients can refer following map for directions to
Dr. Gonzalo Mantilla practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.