Individual
DR. RAFAEL R PORTELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3100 SW 62ND AVE, SUITE 124, MIAMI, FL 33155-3009
(305) 669-7144
(305) 663-8545
Mailing address
3100 SW 62ND AVE, SUITE 124, MIAMI, FL 33155-3009
(305) 669-7144
(305) 663-8545
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME53078
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059222600
—
FL
Enumeration date
09/21/2005
Last updated
03/26/2018
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