Active NPI
Alfredo Portal Garcia
- Family Medicine Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- APRN11033688
- Practice address
- 10841 SW 159TH Ter
Miami, FL 33157-1372 - Phone
- (786) 922-6393
- NPI assigned
- Jul 12, 2024
- Last updated
- Jul 12, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | APRN11033688 | FL | Primary |
Addresses
Primary practice location
10841 SW 159TH Ter
Miami, FL 33157-1372
Mailing address
10841 SW 159TH Ter
Miami, FL 33157-1372
Phone (786) 922-6393
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN11033688 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner Balance Health Center LLC | Current | Accepting new patients | |
| Nova Medical Services - Wound Care Division LLC | Family Medicine | Current | Accepting new patients |
| Revita Medical Center LLC | Current | Accepting new patients |
Locations
724 S Krome Ave
Homestead, FL 33030
Phone (786) 339-8248
13190 SW 134th St
Ste 106
Miami, FL 33186
Phone (786) 209-0023
8260 W Flagler St
Ste 2I
West Miami, FL 33144
Phone (786) 530-6272
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1114753761
-
dba NWC
- Family Medicine Physician
- Miami, FL
- NPI 1578145793
-
- Adult Medicine Physician
- Homestead, FL
- NPI 1811723869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720742400000",
"number": "1700623048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10841 SW 159TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571372",
"telephone_number": "786-922-6393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10841 SW 159TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331571372",
"telephone_number": "786-922-6393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTAL GARCIA",
"first_name": "ALFREDO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-07-12",
"last_updated": "2024-07-12",
"certification_date": "2024-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "APRN11033688",
"primary": true
}
],
"identifiers": [],
"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 Jul 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.