Giselle Brito Mantilla, MD
Individual provider Active NPI Internal Medicine Physician · Estero, FL
NPI 1215679402 · NPPES record last updated Sep 8, 2025
Key facts
- NPI
- 1215679402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- ME174553 (FL)
- Practice address
- 23450 Via Coconut PT
Estero, FL 34135-1877 - Phone
- (239) 468-0150
- Fax
- (239) 343-4065
- NPI assigned
- Apr 8, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 32
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cora Health Services Inc
Lee Health System Inc
Practice addresses (Care Compare)
20009 Verdana Village Blvd
Unit 103
Estero, FL 33928-9826
Phone (419) 221-6717
23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 424-1449
Hospital & facility affiliations
- Lee Memorial Hospital
- Cape Coral Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250723003452 | FL | Practitioner - Internal Medicine | 9830605021 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Current |
Accepting new patients | |
| Lee Health System Inc | Internal Medicine | Current |
Accepting new patients |
Locations
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
23450 Via Coconut Pt
Estero, FL 34135
Phone (239) 468-0150
Interoperability endpoints
- gbritomantilla677364@direct.leememorial.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME174553 | FL | Yes |
Addresses
Primary practice location
23450 Via Coconut PT
Estero, FL 34135-1877
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 468-0150
Other practice location 1
2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 572-6637
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127379200 | Medicaid | FL |
Other providers in Estero, FL
- Breakthrough Counseling Services, LLC
- Brevard Prosthetics & Orthotics, Inc
- Bruce Michael Bridewell
- Stephen Danyael Bridges
- Rochelle Lynn Brindley
- Lindsay S Brown
- Nicole Michele Bruno
- Rachel Lynn Bryant
- Meira Charlee Buck
- Karen Bucur
All providers in Estero, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.