Alexander Portugal, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME116362 Issued in FL

Practice address

7000 SW 62ND Ave Ste 600
South Miami, FL 33143-4728

Phone

(305) 284-7577

Fax

(305) 284-7688

NPI assigned

Oct 5, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Other, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Multispecialty Medical Services LLCGroup PAC ID 1850558842, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Larkin Community Hospital Palm Springs Campus Hospital, Hialeah, FL, CCN 100050

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.

• Advanced Multispecialty Medical Services LLC

  • Specialist
  • South Miami, FL
  • NPI 1891079125
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Larkin Community Hospital Palm Springs Campus, LLC

  • General Acute Care Hospital
  • Hialeah, FL
  • NPI 1013382860
  Care Compare affiliation

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1215924196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5996 SW 70TH ST FL 5",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331433540",
            "telephone_number": "305-284-7577",
            "fax_number": "305-284-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SW 62ND AVE STE 600",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434728",
            "telephone_number": "305-284-7577",
            "fax_number": "305-284-7688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 W 49th Pl Ste 402",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330123147",
            "country_code": "US",
            "telephone_number": "305-907-8526",
            "fax_number": "305-907-0228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTUGAL",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NJ",
            "license": "68146",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME116362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4574605",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "050063505",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varee Nattimon Poochareon, MD
• Victoria Ruth Pope, ARNP
• Marilyn Klock Popko, LCSW
• George Richard Porta, L.C.S.W.
• Jennifer Marie Portogues, APRN
• Sujan Poudel
• Jitomol Poulose, MD
• Kristian Poventud, DMD
• Johnsy Pradhan, MD
• Maria Prado

• Anesthesiology Physician in South Miami, FL
• Providers in South Miami, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.