Jorge de la Portilla PA

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME0047966 Issued in FL

Legal business name

JORGE DE LA PORTILLA PA

Practice address

11880 SW 40TH St
420
Miami, FL 33175-3584

Phone

(305) 220-9207

NPI assigned

May 20, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Janeth Giraldo

Title

Office Manager

Phone

(305) 220-9207

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Networks

• HealthSun Health Plans Network

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jorge Eloy De la Portilla, MD

  • Specialist
  • Miami, FL
  • NPI 1194704551
  Medicare reassignment NPD
• Amaury Aragon, P.A.-C.

  • Surgical Physician Assistant
  • Miami Lakes, FL
  • NPI 1093728602
  NPD (past)

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1073806204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-220-9207",
            "fax_number": "305-223-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11880 SW 40TH ST",
            "address_2": "420",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753584",
            "telephone_number": "305-220-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE DE LA PORTILLA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "GIRALDO",
        "authorized_official_first_name": "JANETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "305-220-9207",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0047966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036000700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jorge a. Rodriguez, P.L.
• Jorge Acevedo Crespo MD PA
• Yorkis Damian Jorge Avila
• Dayana Jorge Barrios
• Jorge Betancourt, M.D., PA
• Jorge Diaz MD PA
• Jorge E Lopez Perez MD PA
• Jorge F Pimienta MD Inc
• Jorge F Pimienta MD Inc
• Jorge Fernandez-Silva, M.D., P.a.

• Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.