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

JACQUELINE ANGELES PORTOBANCO

Active Sole Proprietor

JACQUELINE ANGELES PORTOBANCO is a Occupational Therapy Assistant healthcare provider located in MIAMI GARDENS, Florida. NPI 1679117691 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · MIAMI GARDENS, FL

Registration Details

NPI Number
1679117691
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2019 (6.748756534543 yrs)
Last Updated
Nov 1, 2019
License
OTA16049 (FL)
Sole Proprietor
Yes

Practice Information

Address
18713 NW 46TH AVE
MIAMI GARDENS, FL, 330552655
Browse FL providers · Browse ZIP 33055
Phone
7546100209
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in MIAMI GARDENS, FL

Name Credential NPI
NICOLE MAURICIO COTA 1861890600
YANET GUTIERREZ 1548642549
JACQUELINE ALEXANDRA MADRIZ COTA 1568828648
REINA PAOLA PORTOBANCO COTA/L 1124562137
GISELLE VILLEGAS OTA RBT 1326609785
LUIS ALBERTO LOPEZ COTA/L 1124639695
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.