Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | ME0083959 | FL |
NPI | 1124080163 |
---|---|
Provider Name | Dr. Yamile B Porro |
First Address | Miami, FL 33144-2069 |
Second Address | Miami, FL 33144-2069 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 28/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H53078 | (02) | FL |