Dr. Rafael R. Portela PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

DR. RAFAEL R. PORTELA PA

Practice address

3100 SW 62ND Ave
Suite 124
Miami, FL 33155-3009

Phone

(305) 669-7144

Fax

(305) 663-8545

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Rafael R Portela, MD

Title

President

Phone

(305) 669-7144

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522022400000",
    "number": "1184934325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "SUITE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-669-7144",
            "fax_number": "305-663-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "address_2": "SUITE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-669-7144",
            "fax_number": "305-663-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAFAEL R. PORTELA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2018-03-26",
        "status": "A",
        "authorized_official_last_name": "PORTELA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-669-7144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "059222600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; 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.