Miriam Garcia Portela MD PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

0055651 Issued in FL

Legal business name

MIRIAM GARCIA PORTELA MD PA

Practice address

330 SW 27TH Ave
Suite 509
Miami, FL 33135-2961

Phone

(305) 541-9709

Fax

(305) 541-9304

NPI assigned

Aug 6, 2006

Organization subpart

No

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

Authorized official

Name

Miriam Garcia Portela, MDNPI 1407865504

Title

President

Phone

(305) 541-9709

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miriam Garcia Portela, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1407865504
  Medicare reassignment Authorized official
• Lydia Puente, MD

  • Family Medicine Physician
  • Miami, FL
  • NPI 1942398714
  NPD (past)

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1568471639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 509",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-541-9709",
            "fax_number": "305-541-9304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SW 27TH AVE",
            "address_2": "SUITE 509",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331352961",
            "telephone_number": "305-541-9709",
            "fax_number": "305-541-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM GARCIA PORTELA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA PORTELA",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-541-9709",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "0055651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M. Mirete, MS
• Mireya Garcia MD PA
• Mireya'S Behavior Therapy Inc
• Miriam Diagnostic and Service Inc
• Miriam Elias
• Miriam J Rodriguez, LLC
• Miriam Menendez, L.C.S.W., P.a.
• Mirilis M Rodriguez DDS
• Mirisan Rehabilitation Institute
• Miro Kendall Dental Office

• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.