Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | FL |
NPI | 1154361574 |
---|---|
Provider Name | Dr. Gilda Portalatin |
First Address | Miramar, FL 33029-2760 |
Second Address | Hialeah, FL 33012-3939 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 08/07/2007 |