Organization Active NPI

South Florida Critical Care Services LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1306354626
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
SOUTH FLORIDA CRITICAL CARE SERVICES LLC
Practice address
8370 W Flagler St Ste 226
Miami, FL 33144-2040
Phone
(305) 928-7249
Fax
(305) 630-3632
NPI assigned
Jan 22, 2018
Last updated
Jun 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Douglas Portillo, M.D.NPI 1205824299
Title
President
Phone
(305) 281-9398

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
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary

Addresses

Primary practice location

8370 W Flagler St Ste 226
Miami, FL 33144-2040

Mailing address

PO Box 282070
Tampa, FL 33630-2070
Phone (305) 928-7249

Other practice location 1

1100 NW 95th St
Miami, FL 33150-2038
Phone (305) 928-7249 ext. 101

Other practice location 2

5000 University Dr
Miami, FL 33146-2008
Phone (305) 928-7249 ext. 101

Other practice location 3

6200 SW 72nd St
South Miami, FL 33143-4828
Phone (305) 928-7249 ext. 101

Other practice location 4

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313-1503
Phone (305) 928-7249 ext. 101

Other practice location 5

9555 SW 162nd Ave
Miami, FL 33196-6408
Phone (305) 928-7249 ext. 101

Other practice location 6

2001 W 68th St
Hialeah, FL 33016-1801
Phone (305) 928-7249 ext. 101

Other practice location 7

3100 S Douglas Rd
Coral Gables, FL 33134-6914
Phone (305) 928-7249 ext. 101

Other practice location 8

8900 N Kendall Dr
Miami, FL 33176-2197
Phone (305) 928-7249 ext. 101

Other identifiers 1

IdentifierTypeStateIssuer
024311500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180314000729 FL Part B Supplier - Clinic/Group Practice 2466714241 Receives reassigned benefits from 219 practitioners
Practice locations: Coral Gables, FL; South Miami, FL; Miami, FL; Lauderdale Lakes, FL; Hialeah, FL

National Provider Directory

National Provider Directory

Locations

6200 Sunset Dr
South Miami, FL 33143
Phone (305) 668-1660

Practitioners & affiliated clinicians

Practitioners 221

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 221

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1306354626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282070",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336302070",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W FLAGLER ST STE 226",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442040",
            "telephone_number": "305-928-7249",
            "fax_number": "305-630-3632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 NW 95th St",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331502038",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 University Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331462008",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6200 SW 72nd St",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "331434828",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5000 W Oakland Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333131503",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9555 SW 162nd Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331966408",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "306-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 W 68th St",
            "address_purpose": "LOCATION",
            "city": "Hialeah",
            "state": "FL",
            "postal_code": "330161801",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 S Douglas Rd",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331346914",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8900 N Kendall Dr",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331762197",
            "country_code": "US",
            "telephone_number": "305-928-7249 x101",
            "fax_number": "305-630-3632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH FLORIDA CRITICAL CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-281-9398",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024311500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.