Individual provider Active NPI

Alfredo Portal Garcia

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1700623048
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11033688 Issued in FL
Practice address
10841 SW 159TH Ter
Miami, FL 33157-1372
Phone
(786) 922-6393
NPI assigned
Jul 12, 2024
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120004141 FL Practitioner - Nurse Practitioner 5991230401 Reassigns benefits to 3 organizations
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11033688FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Balance Health Center LLC CurrentSince Dec 10, 2025 Accepting new patients
Nova Medical Services - Wound Care Division LLC Family Medicine CurrentSince Oct 14, 2024 Accepting new patients
Revita Medical Center LLC CurrentSince Jun 8, 2025 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.

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

Verify at the official NPI Registry.