DR. DOUGLAS PORTILLO (NPI# 1205824299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205824299 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS PORTILLO |
| Credential | MD |
| Practice Address |
8900 N Kendall Dr Miami FL 33176-2118 |
| Mailing Address |
8950 Sw 57th Ave Pinecrest FL 33156-2133 |
| Practice Telephone | 7865961960 |
| Practice Fax Number | 3056662252 |
| Mailing Telephone | 3053224116 |
| Mailing Fax Number | 3056662252 |
| Enumeration Date | 2005-10-12 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ME 84645 | FL | Other Service Providers |
| Street Address |
8900 N KENDALL DR |
| City | MIAMI |
| State | FL |
| Zip Code | 33176-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528068715 | Marlene Patricia Carbonell | Specialist | 8900 N Kendall Dr, Radiology Associates of South Florida, Miami, FL 33176 | 2005-07-28 |
| 1982204541 | Jessica Ann Vasquez | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-31 |
| 1285233833 | Maria Eloisa Eleuterio Ortega | Registered Nurse | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-23 |
| 1033717814 | Apryl Alexandra Sharon Thomas | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-10-13 |
| 1952914756 | Arati Panda | Nurse Anesthetist, Certified Registered | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-31 |
| 1033720339 | Jessica Angela Pappanikou | Nurse Practitioner | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-08-11 |
| 1679181432 | Kiran Gangwani | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1831707694 | Alejandra Margarita Cantu Villarreal | Genetic Counselor, MS | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-07-17 |
| 1679196695 | Leosvel Fraga | Anesthesiologist Assistant | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-26 |
| 1235751843 | Jon Aksu | Counselor | 8900 N Kendall Dr, Miami, FL 33176-2118 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467064162 | Majela Muse | Nurse Practitioner | 9550 Sw 92th St, Miami, FL 33176 | 2020-08-24 |
| 1104443647 | Karina G Castillo | Counselor | 14808 Sw 116th Ave, Miami, FL 33176 | 2020-07-01 |
| 1710515721 | Diana Almeida Araujo | Counselor | 11050 North Kendall Drive, Suite 102, Miami, FL 33176 | 2020-03-27 |
| 1255826285 | Rebecca Arteaga | Behavioral Analyst | 10150 Sw 88th St Apt 104, Miami, FL 33176 | 2018-06-22 |
| 1356834337 | Ag Special Therapy Services Corp | Physical Therapist | 12670 Sw 93 Place, Miami, FL 33176 | 2018-06-13 |
| 1063928562 | Dade Behavioral Services Inc | Behavioral Analyst | 10689 N Kendall Dr Ste 309, Miami, FL 33176 | 2017-12-19 |
| 1619409596 | Antonio Medina Rodriguez | Behavior Technician | 9530 Sw 93 Ct, Miami, FL 33176 | 2017-03-30 |
| 1801348552 | Suresh Rana | Specialist/Technologist, Other | 8780 Sw 88th Ave, Miami, FL 33176 | 2016-10-28 |
| 1205386794 | Orlando Sanchez | Behavior Technician | 10421 Sw 141 St Drive, Miami, FL 33176 | 2016-10-07 |
| 1073066759 | Clayton Davis | Dentist | 8940 N. Kendall Drive 604e, Miami, FL 33176 | 2016-07-28 |
| Find all providers in zip 33176 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164057501 | Crossover Health Medical Group | Specialist | 1 Telemundo Way, Miami, FL 33182 | 2020-03-05 |
| 1417594581 | Anamaria Nevares | Specialist | 1601 Nw 12th Ave Ste 2018, Miami, FL 33136-1005 | 2019-12-07 |
| 1619491891 | Stellae LLC | Specialist | 8323 Nw 12 Street, Suite 115, Miami, FL 33126 | 2017-07-31 |
| 1083136808 | Venecia Lasalle Jean | Specialist | 6304 Nw 14th Ave, Miami, FL 33147-8008 | 2017-07-13 |
| 1073063210 | Care for Children Pediatric Services, M.d.,p.a. | Specialist | 3228 Nw 7th St, Miami, FL 33125-4102 | 2016-10-12 |
| 1366995573 | Play To Learn Therapy, Inc. | Specialist | 10841 Sw 128th St, Miami, FL 33176-5442 | 2016-07-25 |
| 1699123323 | Leydi Reyes Figueredo | Specialist | 100 Sw 110th Ave Apt 132, Miami, FL 33174-1255 | 2016-06-03 |
| 1134574288 | Javier Perez Mena I | Specialist | 10105 Nw 9th Street Cir Apt 203, Miami, FL 33172-3290 | 2016-04-26 |
| 1528423571 | Andres Tamayo Md | Specialist | 7357 W Flagler St, Miami, FL 33144-2557 | 2015-12-17 |
| 1134591001 | Keen Radiology, LLC | Specialist | 3500 Munroe Dr, Miami, FL 33133-5932 | 2015-10-30 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.