Carmen G Portogues in Miramar - Physician Assistant

Carmen G Portogues - NPI 1023091717

Carmen G Portogues is a Physician Assistant in Miramar, Florida. Carmen G Portogues practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carmen G Portogues is 1023091717. The last update date is 2013-12-31.

Carmen G Portogues's current location address is 1901 S.w. 172 Ave., Miramar, Florida. You can contact this provider via phone number 9545385000. The mailing address for Carmen G Portogues is 1901 S.w. 172 Ave., Miramar, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Carmen G Portogues
Address 1901 S.w. 172 Ave., Miramar, Florida
Phone Number 9545385000
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1023091717
Provider Enumeration Date 2005-11-28
Last Updated Date 2013-12-31

Provider Mailing Address Detail

Address 1901 S.w. 172 Ave.
City Miramar
State Florida (FL)
Post Code 33029
Phone Number 9545385000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA2405
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
293012900 FL --
E1344U FL MEDICARE PTAN

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FAQs about Carmen G Portogues

What is the unique 10-digit identifier code assigned to Carmen G Portogues by the Centers for Medicare & Medicaid Services?

The Carmen G Portogues has been issued the NPI (National Provider Identifier) 1023091717 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Carmen G Portogues is physically located?

The Carmen G Portogues is situated at the following address: 1901 S.W. 172 Ave., Miramar, FL 33029.

What is the area of specialization for Carmen G Portogues, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Carmen G Portogues is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Carmen G Portogues receive the assignment of its 1023091717 from the Centers for Medicare & Medicaid Services?

The Carmen G Portogues was issued its 1023091717 by the Centers for Medicare & Medicaid Services on 2005-11-28.

When was the Carmen G Portogues's information last updated?

The Carmen G Portogues's information was last updated on 2013-12-31.

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