Lauren Lourdes Mantilla

Primary specialty

DentistTaxonomy code 122300000X

License

DN29089 Issued in FL

Practice address

5607 NW 27TH Ave Ste 2
Miami, FL 33142-2826

Phone

(305) 637-6400

Fax

(305) 636-5155

NPI assigned

Apr 24, 2024

Last updated

Sep 3, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Howard University College of Dentistry, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jessie Trice Community Health System, Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1689605362

  Single Specialty

  Medicare reassignment NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami, FL
  • NPI 1467614099
  NPD
• Jessie Trice Community Health System Inc

  • Federally Qualified Health Center (FQHC)
  • Miami Gardens, FL
  • NPI 1639518798

  Single Specialty

  NPD
• Jessie Trice Community Health System, Inc

  dba Main Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1043892979
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1205682978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 1",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-805-1700",
            "fax_number": "305-805-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 NW 27TH AVE STE 2",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331422826",
            "telephone_number": "305-637-6400",
            "fax_number": "305-636-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTILLA",
        "first_name": "LAUREN",
        "middle_name": "LOURDES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN29089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Dolores Mantero, MD
• Patricia Mantero
• Monica Mantilla Ruiz, LMT
• Angeline Beatriz Mantilla
• Juan Alberto Mantilla, MD
• Alberto Martin Mantovani Sr., DDS
• Manuel a Fernandez MD PA
• Manuel a. Franco MD PA
• Manuel a. Garcia Mdpa
• Manuel a. Hidalgo, D.C., P.a.

• Dentist in Miami, FL
• Providers in Miami, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.