Raul Portela, MD

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

ME0059713 Issued in FL

Practice address

1475 W 49TH St
Hialeah, FL 33012-3222

Phone

(305) 558-2500

Fax

(305) 826-9002

NPI assigned

Jan 15, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Key West Urgent Care Inc

  • General Practice Physician
  • Key West, FL
  • NPI 1710991021
  NPD
• Larkin Emergency Physicians LLC

  • Emergency Medicine Physician
  • Hialeah, FL
  • NPI 1831558626
  NPD
• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1366593584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123222",
            "telephone_number": "305-558-2500",
            "fax_number": "305-826-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 W 49TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123222",
            "telephone_number": "305-558-2500",
            "fax_number": "305-826-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELA",
        "first_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "FL",
            "license": "ME0059713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "12502",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lessa Luisa Portales Diaz
• Juan Manuel Portales Ramos
• Miriam Portales, RBT
• Milena Portela Alejo
• Ida Orlanda Portela
• Virginia Portela, APRN
• Dunia Portuondo Castillo
• Maria Karla Portuondo Hernandez
• Juan Carlos Portuondo, DDS
• Yaneisy Portuondo

• General Acute Care Hospital in Hialeah, FL
• Providers in Hialeah, FL by specialty
• General Acute Care Hospital in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.