Organization Active NPI

Rosa Maria Portela PA

  • Specialist
  • Doral, FL
National Provider Identifier
1124205760
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ROSA MARIA PORTELA PA
Practice address
6382 NW 97TH Ave
Doral, FL 33178-1645
Phone
(305) 925-0141
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Rosa Maria PortelaNPI 1699952242
Title
Owner
Phone
(305) 925-0141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

6382 NW 97TH Ave
Doral, FL 33178-1645

Mailing address

6382 NW 97TH Ave
Doral, FL 33178-1645
Phone (305) 925-0141

National Provider Directory

National Provider Directory

Locations

6382 NW 97th Ave
Doral, FL 33178
Phone (305) 925-0141

5617 NW 7th St
Ste 1505
Miami, FL 33126
Phone (305) 262-6111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1124205760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6382 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781645",
            "telephone_number": "305-925-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6382 NW 97TH AVE",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781645",
            "telephone_number": "305-925-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSA MARIA PORTELA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "PORTELA",
        "authorized_official_first_name": "ROSA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-925-0141"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.