Individual
DR. DOUGLAS PORTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5000 UNIVERSITY DR, CORAL GABLES, FL 33146-2008
(305) 928-7249
(306) 630-3632
Mailing address
8370 W FLAGLER ST STE 226, MIAMI, FL 33144-2040
(305) 928-7249
(305) 630-3632
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME 84645
FL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
ME84645
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265847000
—
FL
Enumeration date
10/12/2005
Last updated
11/29/2023
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