Portilla Diagnostic Group LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PORTILLA DIAGNOSTIC GROUP LLC

Practice address

330 SW 27TH Ave Ste 302-402
Miami, FL 33135-2961

Phone

(305) 631-1220

Fax

(305) 631-1251

NPI assigned

Mar 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Marianela De la Portilla

Title

Medical Director

Phone

(305) 631-1220

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1073939369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 302-402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-631-1220",
            "fax_number": "305-631-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE STE 302-402",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-631-1220",
            "fax_number": "305-631-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTILLA DIAGNOSTIC GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-11",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "DE LA PORTILLA",
        "authorized_official_first_name": "MARIANELA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-631-1220",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jorge Porter-Wolf, DPT
• Cashmere Nicole Porter
• Dulce M. Porter, OT
• Kadijah Falah Porter, MD
• Dalia R. Portero, PHD
• Portilla Medical Group LLC
• Lilivet Portilla Perez, RBT
• Alicia M Portillo Velasquez
• Cimelitza Portillo, LMHC
• Georgina Yamila Portillo

• Radiology Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Radiology Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2014; 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.