Carmen G Portogues, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA 2405 Issued in FL

Practice address

1901 S.W. 172 Ave.
Memorial Hospital Miramar
Miramar, FL 33029

Phone

(954) 538-5000

NPI assigned

Nov 28, 2005

Last updated

Dec 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portogues Assisting, LLC

  • Surgical Physician Assistant
  • Miramar, FL
  • NPI 1073295283
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388448000000",
    "number": "1023091717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8814 N.W. 180 TERRACE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "33018",
            "telephone_number": "305-819-8197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S.W. 172 AVE.",
            "address_2": "MEMORIAL HOSPITAL MIRAMAR",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "33029",
            "telephone_number": "954-538-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTOGUES",
        "first_name": "CARMEN",
        "middle_name": "G",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2013-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA2405",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA 2405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293012900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "E1344U",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tanya Leigh Pond, M.D.
• David Lee Popper, O.D.
• Aleksander Porres Milian, APRN
• Ambar Alicia Portero
• Portogues Assisting, LLC
• Positive Behavior Supports Corp.
• Nagarani Pothuganti
• Romina Velazco Powers, PA-C
• Terrina Powmesamy, BEHAVIOR TECHNICIAN
• Brittany Poyser, BEHAVIOR TECHNICIAN

• Surgical Physician Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.