Portela E.N.T., PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

PORTELA E.N.T., PA

Practice address

3100 SW 62ND Ave Ste 124
Miami, FL 33155-3009

Phone

(305) 669-7144

Fax

(305) 663-8545

NPI assigned

Feb 8, 2019

Last updated

Feb 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rafael Antonio Portela, MDNPI 1134386675

Title

President

Phone

(305) 669-7144

Specialties & licenses 1

Addresses

Tax ID family

Portela ENT PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Portela E.N.T., PA

  • Otolaryngology Physician
  • Miami, FL
  • NPI 1467970368
  NPD tax ID

Networks

• HealthSun Health Plans Network

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rafael Antonio Portela, M.D.

  • Otolaryngology Physician
  • Miami, FL
  • NPI 1134386675
  Authorized official Same address or phone

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1821553389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE STE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-669-7144",
            "fax_number": "305-663-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE STE 124",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-669-7144",
            "fax_number": "305-663-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTELA E.N.T., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "PORTELA",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-669-7144",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yulexy Portales Goy, RBT 19-78498
• Sandra Portales Martinez
• Diyana Portales Riveron
• Annette Portales, LCSW
• Portela E.N.T., PA
• Martha Portela Rabassa
• Geovanna Padron Portela, OTR/L
• Rafael Antonio Portela, M.D.
• Rafael R Portela, MD
• Elizabeth Portelles Pinero

• Otolaryngology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Otolaryngology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.