Active NPI
Jose Emilio Portela-Berrios, D.C.
- Chiropractor
- Clermont, FL
National Provider Identifier
1811395841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH11376
- Practice address
- 192 W Hwy 50
Clermont, FL 34711-3078 - Phone
- (352) 708-5333
- Fax
- (352) 708-5334
- NPI assigned
- Dec 8, 2014
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH11376 | FL | Primary |
Addresses
Primary practice location
192 W Hwy 50
Clermont, FL 34711-3078
Mailing address
11400 Little Nellie Dr
Clermont, FL 34711-8668
Phone (352) 223-7227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
192 W Hwy 50
Clermont, FL 34711-3078
Phone (352) 708-5333
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Balanced Spine Center, Inc. | Chiropractor | Current | Accepting new patients |
| Friends and Family Spinal Care Inc | Chiropractor | Past | Accepting new patients |
Locations
192 W Highway 50
Clermont, FL 34711
Phone (352) 708-5333
Organizations & group practices 2
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.
-
- Chiropractor
- Clermont, FL
- NPI 1336519099
-
- Chiropractor
- Coral Springs, FL
- NPI 1063685253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594771200000",
"number": "1811395841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11400 LITTLE NELLIE DR",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347118668",
"telephone_number": "352-223-7227",
"fax_number": "352-708-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "192 W HWY 50",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347113078",
"telephone_number": "352-708-5333",
"fax_number": "352-708-5334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTELA-BERRIOS",
"first_name": "JOSE",
"middle_name": "EMILIO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-12-08",
"last_updated": "2020-07-15",
"certification_date": "2020-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH11376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.