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Contact Information

RAFAEL R PORTELA, MD
3100 SW 62ND AVE
SUITE 124
MIAMI, FL33155-3009
 Phone: 305-669-7144
 Fax: 305-663-8545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for RAFAEL R PORTELA · (Male)

NPI Number 1972599397
Status Active
Credentials MD
Entity Individual
Enumeration date 09/21/2005
Last updated 03/26/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME53078
  • FL Medicaid 059222600
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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