Organization · Type 2 NPI

Gustavo de la Portilla MD PA

General Practice Physician · Miami, FL

NPI number 1376797027 Active

Practice location

11452 Quail Roost Dr
Miami, FL 33157-6546

Call (305) 255-1966 Map

Fax (305) 259-0147

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XME83614 (FL)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

2 other providers at this address

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About NPI 1376797027

Gustavo de la Portilla MD PA's National Provider Identifier is 1376797027, issued on Nov 7, 2008. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Miami, FL. The record was last updated on Apr 28, 2016.