De La Portilla, Manuel

De La Portilla, Manuel is an individual health care provider with primary practice located at 7800 Sw 57Th Ave Suite #101, South Miami FL 33143-5528. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. De La Portilla, Manuel can be contacted via phone (305) 662-1095.

Contact Information

Primary practice address
7800 Sw 57Th Ave Suite #101 South Miami FL 33143-5528
Phone: (305) 662-1095
Fax: (305) 238-3511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH6485 Florida

Profile Details

NPI number 1831357474
LBN Legal business name De La Portilla, Manuel
Credentials MH6485
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2008
Last updated May 30th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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