Marianela De La Portilla in Miami - General Practice

Marianela De La Portilla - NPI 1104875178

Marianela De La Portilla is a General Practice in Miami, Florida. Marianela De La Portilla practices all healthcare services and medical treatments related to General Practice. The NPI Number for Marianela De La Portilla is 1104875178. The last update date is 2014-02-12.

Marianela De La Portilla's current location address is 330 Sw 27th Ave, Miami, Florida. You can contact this provider via phone number 3056311220 and fax number 3056311251. The mailing address for Marianela De La Portilla is 330 Sw 27th Ave, Miami, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Marianela De La Portilla
Address 330 Sw 27th Ave, Miami, Florida
Phone Number 3056311220
Fax Number 3056311251
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1104875178
Provider Enumeration Date 2006-05-08
Last Updated Date 2014-02-12

Provider Mailing Address Detail

Address 330 Sw 27th Ave
City Miami
State Florida (FL)
Post Code 331352961
Phone Number 3056311220
Fax Number 3056311251

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 208D00000X
Licence No ME62522
Definition:
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
15286 FL BCBS OF FL
370697400 FL --

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FAQs about Marianela De La Portilla

What is the unique identifier code issued to Marianela De La Portilla by the Centers for Medicare & Medicaid Services?

The Marianela De La Portilla has been assigned the NPI (National Provider Identifier) 1104875178. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Marianela De La Portilla?

The Marianela De La Portilla is physically situated at 330 Sw 27Th Ave, in the city of Miami, state of FL, with the postal code 331352961.

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

The Marianela De La Portilla's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 208D00000X.

On what date did the Marianela De La Portilla receive the assignment of its 1104875178 from the Centers for Medicare & Medicaid Services?

The Marianela De La Portilla was issued its 1104875178 by the Centers for Medicare & Medicaid Services on 2006-05-08.

When was the information pertaining to Marianela De La Portilla most recently updated or revised?

The details related to Marianela De La Portilla, including its address, specialty, and other relevant information, were last updated or revised on 2014-02-12.

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