Individual
MIRIAM GARCIA PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 SW 27TH AVE, 509, MIAMI, FL 33135-2961
(305) 541-9709
(305) 541-9304
Mailing address
330 SW 27TH AVE, 509, MIAMI, FL 33135-2961
(305) 541-9709
(305) 541-9304
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
0055651
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061292800
—
FL
Enumeration date
08/07/2006
Last updated
07/08/2007
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