Individual
DR. RAUL PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 826-9002
Mailing address
1475 W 49TH ST, HIALEAH, FL 33012-3222
(305) 558-2500
(305) 826-9002
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
ME0059713
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12502
BLUE CROSS OF FLORIDA
FL
Enumeration date
01/15/2007
Last updated
07/09/2007
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