Marianela De la Portilla, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME62522 Issued in FL

Practice address

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

Phone

(305) 631-1220

Fax

(305) 631-1251

NPI assigned

May 8, 2006

Reactivated

Oct 17, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Felicity Medical Center Inc

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1689293847
  NPD
• X-Ray Technology Enterprise Inc.

  • Clinic/Center
  • Miami, FL
  • NPI 1023041217
  NPD (past)
• Yema Home Health Care, Inc

  • Home Health Agency
  • Miami, FL
  • NPI 1528144862
  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1104875178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 302",
            "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",
            "address_2": "SUITE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-631-1220",
            "fax_number": "305-631-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA PORTILLA",
        "first_name": "MARIANELA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2025-10-17",
        "deactivation_date": "2025-10-02",
        "reactivation_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME62522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "15286",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370697400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yakelyn De la Pena
• Ana Berta De la Portilla Montero
• Dianela De la Portilla
• Jorge Eloy De la Portilla, MD
• Manuel De la Portilla, MH6485
• Mario Luis De la Portilla, CRNA
• Yohandra De la Prida
• Ibeikis De la PZ
• Magaly De la Rosa Aguilera
• Mavelys De la Rosa Fernandez

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.