Gustavo A De La Portilla in Miami - General Practice

Gustavo A De La Portilla - NPI 1932118254

Gustavo A De La Portilla is a General Practice in Miami, Florida. Gustavo A De La Portilla practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gustavo A De La Portilla is 1932118254. The last update date is 2016-04-28.

Gustavo A De La Portilla's current location address is 11452 Quail Roost Dr, Miami, Florida. You can contact this provider via phone number 3052551966 and fax number 3052590147. The mailing address for Gustavo A De La Portilla is 11452 Quail Roost Dr, Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Gustavo A De La Portilla
Address 11452 Quail Roost Dr, Miami, Florida
Phone Number 3052551966
Fax Number 3052590147
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1932118254
Provider Enumeration Date 2006-08-05
Last Updated Date 2016-04-28

Provider Mailing Address Detail

Address 11452 Quail Roost Dr
City Miami
State Florida (FL)
Post Code 331576546
Phone Number 3052551966
Fax Number 3052590147

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No ME83614
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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FAQs about Gustavo A De La Portilla

What is the unique 10-digit identifier code issued to Gustavo A De La Portilla by the Centers for Medicare & Medicaid Services?

The Gustavo A De La Portilla has been assigned the NPI (National Provider Identifier) 1932118254 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Gustavo A De La Portilla is physically located?

The Gustavo A De La Portilla is physically situated at the following address: 11452 Quail Roost Dr, Miami, FL, 331576546.

What is Gustavo A De La Portilla's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gustavo A De La Portilla is General Practice, and the taxonomy code that categorizes this field of expertise is 208D00000X.

On what date was the 1932118254 assigned to Gustavo A De La Portilla?

The Gustavo A De La Portilla was issued its 1932118254 on 2006-08-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the Gustavo A De La Portilla's information last updated?

The Gustavo A De La Portilla's information was last updated on 2016-04-28.

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