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Betty Lopez-Mantilla

Technician, Personal Care Attendant in Davie, FL. Individual provider (NPI-1).

NPI number1487959797
StatusActive
Last updated in NPPESJan 18, 2011

Details

NPI
1487959797
Entity type
Individual (NPI-1)
Name
Betty Lopez-Mantilla
Sex
Female
Sole proprietor
No
Enumeration date
Jan 18, 2011
Last updated
Jan 18, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3747P1801X Technician, Personal Care Attendant––Yes

Practice location

12555 Orange Dr
Suite 222
Davie, FL 33330-4304

Phone 954-862-1707

Mailing address

901 Ne 14th Ave
Apt 701
Hallandale Beach, FL 33009-2754

Phone 954-549-5968

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Personal Care Attendant providers in Davie, FL

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