| Carmen G Portogues, PA-C | |
|
1901 S.w. 172 Ave., Memorial Hospital Miramar, Miramar, FL 33029 | |
| (954) 538-5000 | |
| Not Available |
| Full Name | Carmen G Portogues |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Surgical |
| Location | 1901 S.w. 172 Ave., Miramar, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023091717 | NPI | - | NPPES |
| 293012900 | Medicaid | FL | |
| E1344U | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA2405 (Florida) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA 2405 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carmen G Portogues, PA-C 8814 N.w. 180 Terrace, Hialeah, FL 33018 Ph: (305) 819-8197 | Carmen G Portogues, PA-C 1901 S.w. 172 Ave., Memorial Hospital Miramar, Miramar, FL 33029 Ph: (954) 538-5000 |
Miss Diana Cherkiss, P.A.-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1951 Sw 172 Ave, 308, Miramar, FL 33029 Phone: 954-431-1904 Fax: 954-431-1914 | |
Leiddy K Ramirez Avila, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2812 Island Dr, Miramar, FL 33023 Phone: 786-290-1496 | |
Christopher Charles Fanella, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3000 Sw 148th Ave Ste 115, Miramar, FL 33027 Phone: 954-438-7000 | |
Jennifer Hartman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 15955 Bass Creek Rd, Miramar, FL 33027 Phone: 954-437-3422 | |
Nawal Suriya, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 15491 Sw 18th St, Miramar, FL 33027 Phone: 786-631-8560 | |
Dayrelis Mesa Sardina, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 14601 Sw 29th St, Miramar, FL 33027 Phone: 954-436-8036 Fax: 954-217-4006 |