Search › Colorado › 363LF0000X
Jose Mantilla-Acevedo, NP
NPI 1720394612 · on the registry since 2010
Practice
- Address
- 1035 Garden Of The Gods Rd
Suite 120
Colorado Springs, CO 80907 - Phone
- (719) 329-1000
- Fax
- (719) 598-0807
- Organisation at this address
- Poudre Valley Medical Group, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
163W00000X - Licence states on file
- IL, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-09-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado