DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARIANELA DE LA PORTILLA, MD

Deactivated Sole Proprietor

MARIANELA DE LA PORTILLA, MD is a General Practice healthcare provider located in MIAMI, Florida. NPI 1104875178 is deactivated in the NPPES registry. Verify at CMS.

General Practice · MIAMI, FL

This NPI has been deactivated. The record was deactivated on October 2, 2025. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1104875178
Provider Type
Individual
Gender
Female
NPI Issued
May 8, 2006 (19.402739726027 yrs)
Last Updated
Oct 17, 2025
Deactivated
Oct 2, 2025
License
ME62522 (FL)
Sole Proprietor
Yes

Practice Information

Address
330 SW 27TH AVE
SUITE 302
MIAMI, FL, 331352961
Browse FL providers · Browse ZIP 33135
Phone
3056311220
Fax
3056311251
Primary Specialty
General Practice
208D00000X

Other General Practice Providers in MIAMI, FL

Name Credential NPI
DR. JOSE FRANCISCO CARDONA M.D. 1932107695
DR. JUANA MARIA GUTIERREZ M.D. 1114925427
JOSEFINA FABIOLA TUR MD 1841292695
JOSE ALBERTO NUNEZ M.D. 1477545226
SONIA INES RENTE MD 1063400364
DR. PIERRE PHILIPPE NICOLAS M.D. 1891784427
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.