Individual provider Active NPI

Emilio Mantero Atienza, MD

  • Psychiatry Physician
  • Miami Beach, FL
National Provider Identifier
1912014804
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME61968 Issued in FL
Practice address
1200 Alton Rd
Miami Beach, FL 33139-3810
Phone
(305) 326-0776
Fax
(305) 326-0077
NPI assigned
Aug 24, 2006
Last updated
Jan 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME61968 FL Primary

Addresses

Primary practice location

1200 Alton Rd
Miami Beach, FL 33139-3810

Mailing address

1200 Alton Rd
Miami Beach, FL 33139-3810
Phone (305) 326-0776

Other identifiers 1

IdentifierTypeStateIssuer
370803900MedicaidFL

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050425000936 FL Practitioner - Psychiatry 0345148912 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emilio Mantero-Atienza MD PAGroup PAC ID 0547168106, 3 clinicians

Practice addresses (Care Compare)

11750 Sw40Th St
Miami, FL 33175-3530
Phone (305) 223-3000

1400 Nw12Th Ave
Miami, FL 33136-1003
Phone (305) 325-5511

1901 SW 1 St
Miami, FL 33135-1601

1901 SW 1St St
Suite 280
Miami, FL 33135-1601
Phone (305) 326-0729

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

4225 W 20TH Ave
Hialeah, FL 33012-5826
Phone (786) 828-7552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME61968FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emilio Mantero-Atienza MD PA Psychiatry CurrentSince Jan 1, 1998 Accepting new patients
Miami Dade Community Services Inc CurrentSince Jun 27, 2014 Accepting new patients
Miami Dade Community Services Inc PastSince Jul 4, 2021 Accepting new patients
Parker Medical Inc Past Accepting new patients
Atlantis Mental Health Center, Corp PastSince Nov 17, 2006 Accepting new patients

Locations

2100 E Hallandale Beach Blvd
Ste 306
Hallandale Beach, FL 33009
Phone (305) 631-8931

1321 NW 14th St
Ste 607
Miami, FL 33125
Phone (305) 325-1248

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

1901 SW 1st St
Fl 2
Miami, FL 33135
Phone (305) 631-8931

1901 SW 1st St
Fl Second
Miami, FL 33135
Phone (305) 631-8931

1901 SW 1st St
Ste 280
Miami, FL 33135
Phone (305) 326-0729

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

1200 Alton Rd
Miami Beach, FL 33139
Phone (305) 534-3242

Networks

  • HealthSun Health Plans Network
  • Freedom Health HMO Network

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1912014804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393810",
            "telephone_number": "305-326-0776",
            "fax_number": "305-326-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALTON RD",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393810",
            "telephone_number": "305-326-0776",
            "fax_number": "305-326-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANTERO ATIENZA",
        "first_name": "EMILIO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME61968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370803900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.