Rosa Maria Portela PA

NPI #1124205760 in Doral, Florida

Provider Information

NPI Number: 1124205760
Entity Type: Organization
Organization Name: Rosa Maria Portela PA
Primary Specialty: Specialist
Enumeration Date: Jan 25, 2008
Last Updated: Jan 25, 2008

Practice Location

Address: 6382 NW 97TH AVE
City: Doral
State: Florida
ZIP Code: 33178-1645
Phone: (305) 925-0141

Authorized Official

Name: ROSA MARIA PORTELA
Title: OWNER
Phone: (305) 925-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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