Maria Portobanco, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT21851 Issued in FL

Practice address

18713 NW 46TH Ave
Miami Gardens, FL 33055-2655

Phone

(786) 394-0096

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• MRJ Therapy LLC

  • Occupational Therapist
  • Miami Gardens, FL
  • NPI 1952171928
  Medicare reassignment NPD Authorized official
• Beyond Therapy Team LLC

  • Developmental Therapist
  • Miami, FL
  • NPI 1386277119

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1790218014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18713 NW 46TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552655",
            "telephone_number": "786-394-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18713 NW 46TH AVE",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330552655",
            "telephone_number": "786-394-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTOBANCO",
        "first_name": "MARIA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA14794",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT21851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gonzalo Portal Lemock, APRN
• Julio Portal
• Yudeny D Portal, RBT
• Yaimaris Portela
• Jacqueline Angeles Portobanco
• Reina Paola Portobanco, COTA/L
• Line Posada Hernandez
• Positive Behavior Services
• Maria Regla Pou, BA
• Goldie Blash Pouca

• Occupational Therapist in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.