Dr. Rafael R Portela
Pediatric Otolaryngology
3100 Sw 62nd Ave Suite 124
Miami
, Florida 33155-3009
Dr. Rafael R Portela
Pediatric Otolaryngology
3100 Sw 62nd Ave Suite 124
Miami
, Florida 33155-3009
(305) 663-8545
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About
Features
Specialties
- Pediatric Otolaryngology
Languages spoken
- English
Location
First Address
- Dr. Rafael R Portela
- 3100 Sw 62nd Ave Suite 124
- Miami, FL
- Zip : 33155-3009
- Fax : (305) 663-8545
- Phone : (305) 669-7144
Second Address
- Dr. Rafael R Portela
- 3100 Sw 62nd Ave Suite 124
- Miami, FL
- Zip : 33155-3009
- Fax : (305) 663-8545
- Phone : (305) 669-7144
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Is Dr. Rafael R Portela a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YP0228X | Pediatric Otolaryngology | ME53078 | FL |
National Provider Identifier
| NPI | 1972599397 |
|---|---|
| Provider Name | Dr. Rafael R Portela |
| First Address | Miami, FL 33155-3009 |
| Second Address | Miami, FL 33155-3009 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/09/2005 |
| Last Update Date | 26/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 059222600 | (05) | FL |
| D74460 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.