| Miriam Garcia Portela Md Pa | |
|
330 Sw 27th Ave Suite 509 Miami FL 33135-2961 | |
| (305) 541-9709 | |
| (305) 541-9304 |
| Full Name | Miriam Garcia Portela Md Pa |
|---|---|
| Speciality | General Practice |
| Location | 330 Sw 27th Ave, Miami, Florida |
| Authorized Official Name and Position | Miriam Garcia Portela (PRESIDENT) |
| Authorized Official Contact | 3055419709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Garcia Portela Md Pa 330 Sw 27th Ave Suite 509 Miami FL 33135-2961 Ph: (305) 541-9709 | Miriam Garcia Portela Md Pa 330 Sw 27th Ave Suite 509 Miami FL 33135-2961 Ph: (305) 541-9709 |
| NPI Number | 1568471639 |
|---|---|
| Provider Enumeration Date | 08/06/2006 |
| Last Update Date | 09/14/2007 |
| Medicare PECOS PAC ID | 6204135007 |
|---|---|
| Medicare Enrollment ID | O20160428002339 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568471639 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0055651 (Florida) | Primary |
| Provider Name | Miriam Garcia Portela |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1407865504 PECOS PAC ID: 6406932524 Enrollment ID: I20080328000453 |
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