JORGE DE LA PORTILLA PA
Radiology at 40 St, Miami, FL

License number
Florida ME0047966
Category
Radiology
Type
Surgery
Owner
Name: MRS. JANETH GIRALDO
Title: OFFICE MANAGER
Phone: (305) 220-9207
Address
Address
11880 SW 40Th St, Miami, FL 33175
National Provider ID: 1073806204
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Jorge De La Portilla, PA

11880 SW 40 St, Miami, FL 33175

Registration:
Feb 13, 1989
Phone:
(305) 220-9207 (Phone)
State ID:
K65263
Business type:
Domestic for Profit Corporation
President:
Jorge De La Portilla (President)
Categories:
General Surgeons, Physicians & Surgeons

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