Individual
DR. DAMIAN PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME94172
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1062405
CAREPLUS
FL
01
—
11147
DIMENSION HEALTH
FL
01
—
1242202
WELLCARE
FL
01
—
32647
BCBS
FL
01
—
7451633
AETNA
FL
01
—
P01250
FREEDOM
FL
01
—
P01596411
RR MEDICARE
FL
01
—
P929225
OPTIMUM
FL
Enumeration date
01/06/2006
Last updated
10/13/2016
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