Marianela De La Portilla, MD
General Practice in Miami, FL. Individual provider (NPI-1).
NPI number1104875178
StatusActive
Last updated in NPPESOct 17, 2025
Details
- NPI
- 1104875178
- Entity type
- Individual (NPI-1)
- Name
- Marianela De La Portilla
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 8, 2006
- Last updated
- Oct 17, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ME62522 | FL | Yes |
Practice location
330 Sw 27th AveSuite 302
Miami, FL 33135-2961
Phone 305-631-1220 · Fax 305-631-1251
Mailing address
330 Sw 27th AveSuite 302
Miami, FL 33135-2961
Phone 305-631-1220 · Fax 305-631-1251
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