Organization
GUSTAVO DE LA PORTILLA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO DE LA PORTILLA MD (PRESIDENT)
(305) 255-1966
Entity
Organization
Contact information
Practice address
11452 QUAIL ROOST DR, MIAMI, FL 33157-6546
(305) 255-1966
(305) 259-0147
Mailing address
11452 QUAIL ROOST DR, MIAMI, FL 33157-6546
(305) 255-1966
(305) 259-0147
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME83614
FL
Other
Enumeration date
11/07/2008
Last updated
04/28/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us