# MIRIAM GARCIA PORTELA MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568471639
- **Authorized official:** MIRIAM GARCIA PORTELA MD (PRESIDENT)
- **Authorized official phone:** (305) 541-9709

## Contact information

- **Practice address:** 330 SW 27TH AVE, SUITE 509, MIAMI, FL 33135-2961
- **Practice address phone:** (305) 541-9709
- **Practice address fax:** (305) 541-9304
- **Mailing address:** 330 SW 27TH AVE, SUITE 509, MIAMI, FL 33135-2961
- **Mailing address phone:** (305) 541-9709
- **Mailing address fax:** (305) 541-9304

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 0055651 | FL | Yes |

## Other

- **Enumeration date:** 08/06/2006
- **Last updated:** 09/14/2007
