Individual
MARIO LUIS DE LA PORTILLA
Active
Individual
MARIO LUIS DE LA PORTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9166474
FL
Other
Enumeration date
12/09/2005
Last updated
06/30/2016
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