PORTILLA DIAGNOSTIC GROUP LLC (NPI# 1073939369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073939369 |
| Entity Type | Organization |
| Organization Name | PORTILLA DIAGNOSTIC GROUP LLC |
| Practice Address |
330 Sw 27th Ave Ste 302-402 Miami FL 33135-2961 |
| Practice Telephone | 3056311220 |
| Practice Fax Number | 3056311251 |
| Mailing Telephone | 3056311220 |
| Mailing Fax Number | 3056311251 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | DR. MARIANELA DE LA PORTILLA (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3056311220 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
330 SW 27TH AVE STE 302-402 |
| City | MIAMI |
| State | FL |
| Zip Code | 33135-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601430 | Milagros Diaz Rodriguez | Behavior Technician | 1250 Sw 27 Ave, Suite 207, Miami, FL 33135 | 2020-02-20 |
| 1932739364 | Elizabeth Perez Vazquez | Behavior Technician | 1250 Sw 27 Ave Suite 207, Miami, FL 33135 | 2020-01-24 |
| 1134691660 | A&n Pharmacy Inc | Pharmacy | 1701 W. Flagler St, Suite 322, Miami, FL 33135 | 2018-12-21 |
| 1669952610 | Ileana Norma Rodriguez | Behavior Technician | 890 Sw 36th Ct, Miami, FL 33135 | 2018-08-20 |
| 1053801761 | Humberto Marchante | Massage Therapist | 327 Sw 30th Ave, Miami, FL 33135 | 2018-05-17 |
| 1336654904 | Daniela Vega | Behavior Technician | 1401 Sw 1 Street, Suite 100, Miami, FL 33135 | 2017-12-05 |
| 1609387133 | Latin Quarter Dental Pa | Clinic/Center | 1660 Sw 1 St, Miami, FL 33135 | 2017-10-24 |
| 1588173074 | Mildred E Meneses | Behavior Technician | 1971 Sw 4th St Apart 406, Miami, FL 33135 | 2017-09-27 |
| 1902320666 | Betzabeth Paredes | Behavior Technician | 429 Sw 29 Ave, Miami, FL 33135 | 2017-08-02 |
| 1386174977 | Milkos Ramon Hernandez Alvarez. | Nurse Practitioner | 2999 West Flagler St, Apt 10, Miami, FL 33135 | 2017-06-15 |
| Find all providers in zip 33135 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1245540913 | Optimum Imaging, LLC. | Clinic/Center | 2740 Sw 97 Avenue, Suite 107, Miami, FL 33165 | 2010-10-15 |
| 1811227200 | Florida Imaging Diagnostics, LLC | Clinic/Center | 15260 Sw 280 St, Suite # 202, Miami, FL 33032 | 2010-01-06 |
| 1366673816 | Healthcare Imaging of Kendall LLC | Clinic/Center | 11410 N Kendall Dr Ste 101, Miami, FL 33176-1031 | 2009-07-31 |
| 1679711246 | High Field Mri of Miami-dade, LLC | Clinic/Center | 9290 S.w. 72nd Street, Suite 100 High Field Mri of Miami-dade, LLC, Miami, FL 33173 | 2009-02-04 |
| 1437222353 | Finlay Diagnostic Center Inc. | Clinic/Center | 8756 Sw 8th St, Miami, FL 33174-3201 | 2006-11-16 |
| 1184709701 | Professional Health Diagnostics, Inc | Clinic/Center | 6527 Sw 24th St, Miami, FL 33155-1843 | 2006-10-25 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.