Active NPI
Geovanna Padron Portela, OTR/L
- Community Health Worker
- Miami, FL
National Provider Identifier
1932400918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- OT11276
- Practice address
- 5040 SW 103Rd PL
Miami, FL 33165-6243 - Phone
- (305) 788-8476
- Fax
- (305) 279-3538
- NPI assigned
- Nov 8, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | OT11276 | FL | Primary |
Addresses
Primary practice location
5040 SW 103Rd PL
Miami, FL 33165-6243
Mailing address
5040 SW 103Rd PL
Miami, FL 33165-6243
Phone (305) 788-8476
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT11276 | FL | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289174400000",
"number": "1932400918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5040 SW 103RD PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331656243",
"telephone_number": "305-788-8476",
"fax_number": "305-279-3538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5040 SW 103RD PL",
"city": "MIAMI",
"state": "FL",
"postal_code": "331656243",
"telephone_number": "305-788-8476",
"fax_number": "305-279-3538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTELA",
"first_name": "GEOVANNA",
"middle_name": "PADRON",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-08",
"last_updated": "2010-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "FL",
"license": "OT11276",
"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 Nov 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.