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MARIANELA DE LA PORTILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
330 SW 27TH AVE, SUITE 302, MIAMI, FL 33135-2961
(305) 631-1220
(305) 631-1251
Mailing address
330 SW 27TH AVE, SUITE 302, MIAMI, FL 33135-2961
(305) 631-1220
(305) 631-1251

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME62522
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15286
BCBS OF FL
FL
05
370697400
FL
Enumeration date
05/08/2006
Last updated
10/17/2025
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