Portela E.N.T., Pa

LBN: Portela E.N.T., Pa
Portela E.N.T., Pa is an health care organization with primary practice located at 3100 Sw 62Nd Ave Ste 124 , Miami FL 33155-3009. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Portela E.N.T., Pa can be contacted via phone (305) 669-7144, or through Portela, Rafael Antonio via phone (305) 669-7144.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Ste 124 Miami FL 33155-3009
Phone: (305) 669-7144
Fax: (305) 663-8545
Website:
Map and Directions
Authorized official contact:
Name: Portela, Rafael Antonio Doctor of Medicine (MD)
Phone: (305) 669-7144

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1821553389
LBN Legal business name Portela E.N.T., Pa
DBA Doing business as
Authorized official Portela, Rafael Antonio Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2019
Last updated Feb 8th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821553389 NPPES
Florida MEDICAID 008496300

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