Marianela De La Portilla, MD | |
330 Sw 27th Ave, Suite 302, Miami, FL 33135-2961 | |
(305) 631-1220 | |
(305) 631-1251 |
Full Name | Marianela De La Portilla |
---|---|
Gender | Female |
Speciality | General Practice |
Location | 330 Sw 27th Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104875178 | NPI | - | NPPES |
15286 | Other | FL | BCBS OF FL |
370697400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME62522 (Florida) | Primary |
Entity Name | M & A Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578120010 PECOS PAC ID: 3476973124 Enrollment ID: O20201019000717 |
Entity Name | Renacer Medical Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639801491 PECOS PAC ID: 9436530300 Enrollment ID: O20220723000444 |
Mailing Address | Practice Location Address |
---|---|
Marianela De La Portilla, MD 330 Sw 27th Ave, Suite 302, Miami, FL 33135-2961 Ph: (305) 631-1220 | Marianela De La Portilla, MD 330 Sw 27th Ave, Suite 302, Miami, FL 33135-2961 Ph: (305) 631-1220 |
Pete Gutierrez, MD/PA General Practice Medicare: Medicare Enrolled Practice Location: 2015 Nw 1st Ave, Miami, FL 33127 Phone: 305-572-2026 Fax: 305-572-2025 | |
Dr. Jorge L Acosta, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 938-b Sw 82 Ave, Miami, FL 33144 Phone: 305-267-0074 Fax: 305-267-0655 | |
Dr. John S Hoyes, M.D. General Practice Medicare: Accepting Medicare Assignments Practice Location: 21150 Biscayne Blvd, Suite 306, Miami, FL 33180 Phone: 305-933-4747 | |
Jesus B Menendez, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 2501 Sw 8th St, Miami, FL 33135 Phone: 305-642-9992 Fax: 305-642-9978 | |
Antonio Pino, MD General Practice Medicare: Not Enrolled in Medicare Practice Location: 13311 Sw 47th St, Miami, FL 33175 Phone: 305-360-8147 | |
Eileen Higgins Faradji, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 8940 N Kendall Dr, Suite 802e, Miami, FL 33176 Phone: 305-595-4041 Fax: 305-595-6638 | |
Dr. Jesus G Noguer, MD General Practice Medicare: Accepting Medicare Assignments Practice Location: 20001 Sw 127th Ave, Miami, FL 33177 Phone: 305-406-2069 Fax: 786-557-4381 |