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JORGE DE LA PORTILLA PA
NPI 1073806204
Surgery in Miami, FL

Active since May 20, 2011
11880 SW 40TH ST, 420, MIAMI, FL 33175(305) 220-9207 Get Directions Write a Review

NPPES record last updated: January 27, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jorge De La Portilla Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE DE LA PORTILLA PA (NPI 1073806204) is a healthcare organization registered as a surgery in Miami, Florida and active in the NPI registry since May 2011. The organization lists Janeth Giraldo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1073806204
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameJORGE DE LA PORTILLA PA
Location Address11880 SW 40TH ST, 420Miami, FL 33175-3584
Mailing Address11880 Sw 40th St, 420Miami, FL 33175-3584 · (305) 220-9207 · Fax (305) 223-0137
Phone(305) 220-9207
Organization SubpartNo
Authorized OfficialJaneth GiraldoOffice Manager · (305) 220-9207
Enumeration DateMay 20, 2011
Last NPPES UpdateJanuary 27, 2016
✔ NPI 1073806204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME0047966
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
11880 SW 40TH ST, Miami, FL 33175
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Other Identifiers 2

Medicaid036000700FL
Medicare PIN07979FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge De La Portilla Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jorge De La Portilla PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jorge De La Portilla, MD
General Surgery
NPI 1194704551
11880 SW 40TH ST 420
Miami, FL 33175
(305) 220-9207
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge De La Portilla PA's NPI number?

The NPI number for Jorge De La Portilla PA is 1073806204. It was assigned to this organization in the NPPES registry on May 20, 2011.

Where is Jorge De La Portilla PA located?

Jorge De La Portilla PA is located at 11880 SW 40th St 420, Miami, FL 33175. The listed phone number is (305) 220-9207.

What is Jorge De La Portilla PA's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jorge De La Portilla PA enrolled in Medicare?

Yes. Jorge De La Portilla PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jorge De La Portilla PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Jorge De La Portilla PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jorge De La Portilla PA accept?

Health plans from AvMed list Jorge De La Portilla PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jorge De La Portilla PA was last updated on January 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.