Portela, Rafael R
Portela, Rafael R is an sole proprietor health care provider with primary practice located at 3100 Sw 62Nd Ave Suite 124, Miami FL 33155-3009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Portela, Rafael R can be contacted via phone (305) 669-7144.Contact Information
Primary practice address
3100 Sw 62Nd Ave Suite 124
Miami FL 33155-3009
Phone: (305) 669-7144
Fax: (305) 663-8545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | ME53078 | Florida |
Profile Details
| NPI number | 1972599397 |
|---|---|
| LBN Legal business name | Portela, Rafael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 21st, 2005 |
| Last updated | Mar 26th, 2018 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972599397 | NPPES |
| Florida | MEDICAID | 059222600 |
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