Portela E.N.T., PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

ME114535 Issued in FL

Legal business name

PORTELA E.N.T., PA

Practice address

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

Phone

(305) 669-7144

Fax

(305) 663-8545

NPI assigned

Aug 31, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lidice Galvin

Title

Secretary

Phone

(305) 669-7144

Specialties & licenses 1

Addresses

Tax ID family

Portela ENT PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Portela E.N.T., PA

  • Otolaryngology Physician
  • Miami, FL
  • NPI 1821553389
  NPD tax ID

Networks

• HealthSun Health Plans Network

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467970368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE STE 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 STE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-669-7144",
            "fax_number": "305-663-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTELA E.N.T., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GALVIN",
        "authorized_official_first_name": "LIDICE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "305-669-7144"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME114535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yismely Portales Goy
• Yulexy Portales Goy, RBT 19-78498
• Sandra Portales Martinez
• Diyana Portales Riveron
• Annette Portales, LCSW
• Portela E.N.T., PA
• Martha Portela Rabassa
• Geovanna Padron Portela, OTR/L
• Rafael Antonio Portela, M.D.
• Rafael R Portela, MD

• 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 Jul 21, 2022; 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.