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

GUSTAVO DE LA PORTILLA MD PA

Active Organization

GUSTAVO DE LA PORTILLA MD PA is a General Practice organization located in MIAMI, Florida. NPI 1376797027 is currently active in the NPPES registry. Verify at CMS.

General Practice · MIAMI, FL

Registration Details

NPI Number
1376797027
Provider Type
Organization
NPI Issued
Nov 7, 2008 (17.743021426436 yrs)
Last Updated
Apr 28, 2016
License
ME83614 (FL)

Practice Information

Address
11452 QUAIL ROOST DR
MIAMI, FL, 331576546
Browse FL providers · Browse ZIP 33157
Phone
3052551966
Fax
3052590147
Primary Specialty
General Practice
208D00000X

Other General Practice Organizations in MIAMI, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.