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Individual
DR. RAUL PORTELA
Active
Individual
DR. RAUL PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME0059713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12502
BLUE CROSS OF FLORIDA
FL
Enumeration date
01/15/2007
Last updated
07/09/2007
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