person
Marianela De La Portilla, MD
General Practice Physician in Miami, Florida
NPI 1104875178

Marianela De La Portilla is a General Practice Physician based in Miami, FL. Marianela De La Portilla practices in Miami, FL and has the professional credentials of MD. The NPI Number for Marianela De La Portilla is 1104875178 and holds a License No. ME62522 (Florida).

The current practice location address for Marianela De La Portilla is 330 Sw 27Th Ave, Miami, FL and can be reached out via phone at 305-631-1220 and via fax at 305-631-1251.

Location: 330 Sw 27Th Ave, Miami, FL, 33135-2961
person
Provider Profile Details
NPI Number
1104875178
Provider Name
Marianela De La Portilla
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
330 Sw 27Th Ave, Miami, FL, 33135-2961
Phone Number
305-631-1220
Fax Number
305-631-1251
Provider Enumeration Date
05/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15286 01 FL BCBS OF FL
370697400 05 FL
institution
Provider Business Practice Location Address Details
Address
330 Sw 27Th Ave
City
State
Zip
33135-2961
Phone Number
305-631-1220
Fax Number
305-631-1251
person
Provider Business Mailing Address Details
Address
330 Sw 27Th Ave
City
State
Zip
33135-2961
Phone Number
305-631-1220
Fax Number
305-631-1251
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ME62522 (Florida)
Definition
Definition to come...
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