Individual
MAGELA HERRERA PORTUONDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3511 SW 5TH ST, MIAMI, FL 33135-2509
(786) 477-0169
Mailing address
3511 SW 5TH ST, MIAMI, FL 33135-2509
(786) 477-0169
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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