Portela, Rafael R

Portela, Rafael R is an sole proprietor health care provider with primary practice located at 3100 Sw 62Nd Ave Suite 124, Miami FL 33155-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Portela, Rafael R can be contacted via phone (305) 669-7144.

Contact Information

Primary practice address
3100 Sw 62Nd Ave Suite 124 Miami FL 33155-3009
Phone: (305) 669-7144
Fax: (305) 663-8545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X ME53078 Florida

Profile Details

NPI number 1972599397
LBN Legal business name Portela, Rafael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2005
Last updated Mar 26th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972599397 NPPES
Florida MEDICAID 059222600

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