Individual
DR. JORGE ELOY DE LA PORTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11880 SW 40TH ST, 420, MIAMI, FL 33175-3584
(305) 220-9207
(305) 223-0137
Mailing address
11880 SW 40TH ST, 420, MIAMI, FL 33175-3584
(305) 220-9207
(305) 223-0137
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0047966
FL
Other
Enumeration date
01/13/2006
Last updated
08/03/2010
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