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Contact Information

CARMEN G PORTOGUES, PA-C
1901 S.W. 172 AVE.
MEMORIAL HOSPITAL MIRAMAR
MIRAMAR, FL33029
 Phone: 954-538-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARMEN G PORTOGUES · (Female)

NPI # 1023091717
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 11/28/2005
Last updated 12/31/2013 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • FL License # PA 2405
  • FL License # PA2405
  • FL Medicaid 293012900
  • FL Other E1344U MEDICARE PTAN
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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