NPI 1073806204

Jorge de La Portilla PA

Organisation Surgery Physician Miami, FL

Practice location

Address: 11880 SW 40th St 420, Miami, FL 33175-3584
Phone: (305) 220-9207

Authorised official

Name: Janeth Giraldo
Title: Office Manager
Phone: (305) 220-9207

Registered specialties

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence ME0047966 (FL)

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Registry record

NPI: 1073806204
Entity type: Organization
NPI issued: 20 May 2011
Record last updated: 27 Jan 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.