Individual
DR. ALEXANDER PORTUGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7000 SW 62ND AVE STE 600, SOUTH MIAMI, FL 33143-4728
(305) 284-7577
(305) 284-7688
Mailing address
5996 SW 70TH ST FL 5, SOUTH MIAMI, FL 33143-3540
(305) 284-7577
(305) 284-7688
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
68146
NJ
207L00000X
Anesthesiology Physician
Primary
ME116362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050063505
RAIL ROAD MEDICARE
NJ
05
—
4574605
—
NJ
Enumeration date
10/05/2005
Last updated
06/21/2024
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