PORTILLA DIAGNOSTIC GROUP LLC NPI 1073939369

NPI Information

NPI: 1073939369
Provider Name: PORTILLA DIAGNOSTIC GROUP LLC
Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
330 SW 27TH AVE STE 302-402
MIAMI, FL
ZIP 33135
Phone: (305) 631-1220
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PORTILLA DIAGNOSTIC GROUP LLC is a radiology clinic center in Miami, FL. PORTILLA DIAGNOSTIC GROUP LLC NPI is 1073939369. The provider is registered as an organization entity type.

The provider's business location address is:

330 SW 27TH AVE STE 302-402
MIAMI, FL
ZIP 33135-961
Phone: (305) 631-1220
Fax: (305) 631-1251

The provider's authorized official is Marianela De La Portilla .
The authorized official title is Medical Director and has the following contact phone number (305) 631-1220.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 3/13/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0200X	Clinic/Center	Radiology			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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