Individual
CARMEN G PORTOGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1901 S.W. 172 AVE., MEMORIAL HOSPITAL MIRAMAR, MIRAMAR, FL 33029
(954) 538-5000
Mailing address
8814 N.W. 180 TERRACE, HIALEAH, FL 33018
(305) 819-8197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA2405
FL
363AS0400X
Surgical Physician Assistant
Primary
PA 2405
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293012900
—
FL
01
—
E1344U
MEDICARE PTAN
FL
Enumeration date
11/28/2005
Last updated
12/31/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us