Douglas Portillo is a Specialist in Miami, Florida. Douglas Portillo practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas Portillo is 1205824299. The last update date is 2023-11-29.
Douglas Portillo's current location address is 8370 W Flagler St Ste 226, Miami, Florida. You can contact this provider via phone number 3059287249 and fax number 3056303632. The mailing address for Douglas Portillo is 8370 W Flagler St Ste 226, Miami, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Portillo |
|---|---|
| Address | 8370 W Flagler St Ste 226, Miami, Florida |
| Phone Number | 3059287249 |
| Fax Number | 3056303632 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205824299 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2023-11-29 |
Provider Mailing Address Detail
| Address | 8370 W Flagler St Ste 226 |
|---|---|
| City | Miami |
| State | Florida (FL) |
| Post Code | 331442040 |
| Phone Number | 3059287249 |
| Fax Number | 3056303632 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME 84645 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 265847000 | FL | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Douglas Portillo by the Centers for Medicare & Medicaid Services?
The Douglas Portillo has been assigned the NPI (National Provider Identifier) 1205824299 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Douglas Portillo?
The Douglas Portillo is situated at 8370 W Flagler St Ste 226, in the city of Miami, state of FL, with the zip code 331442040.
What is the Douglas Portillo's specialty and taxonomy code?
The Douglas Portillo's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205824299 to Douglas Portillo?
The Centers for Medicare & Medicaid Services assigned the 1205824299 to Douglas Portillo on 2005-10-12.
When was the information related to Douglas Portillo most recently updated or refreshed?
The details pertaining to the Douglas Portillo, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-11-29.
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