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GUSTAVO DE LA PORTILLA MD PA
NPI 1376797027
General Practice in Miami, FL

Active since November 07, 2008
11452 QUAIL ROOST DR, MIAMI, FL 33157(305) 255-1966(305) 259-0147 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gustavo De La Portilla Md Pa NPPES

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

GUSTAVO DE LA PORTILLA MD PA (NPI 1376797027) is a healthcare organization registered as a general practice in Miami, Florida and active in the NPI registry since November 2008. The organization lists Gustavo De La Portilla, President, as its authorized official.

NPPES Registry Identity

NPI1376797027
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGUSTAVO DE LA PORTILLA MD PA
Location Address11452 QUAIL ROOST DRMiami, FL 33157-6546
Mailing Address11452 Quail Roost DrMiami, FL 33157-6546 · (305) 255-1966 · Fax (305) 259-0147
Phone(305) 255-1966
Fax(305) 259-0147
Organization SubpartNo
Authorized OfficialGustavo De La PortillaPresident · (305) 255-1966
Enumeration DateNovember 7, 2008
Last NPPES UpdateApril 28, 2016
✔ NPI 1376797027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ME83614
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
11452 QUAIL ROOST DR, Miami, FL 33157
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Other Identifiers 1

Medicare UPINH29297FL

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HECTOR GARCIA D.P.M.
Podiatrist (Foot & Ankle Surgery)
11452 QUAIL ROOST DR
MIAMI, FL 33157
Miami-Dade County (305) 969-3230
HECTOR GARCIA DPM PA
Podiatrist
11452 QUAIL ROOST DR
MIAMI, FL 33157
Miami-Dade County (305) 969-3230

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 Gustavo De La Portilla MD PA's NPI number?

The NPI number for Gustavo De La Portilla MD PA is 1376797027. It was assigned to this organization in the NPPES registry on November 7, 2008.

Where is Gustavo De La Portilla MD PA located?

Gustavo De La Portilla MD PA is located at 11452 Quail Roost Dr, Miami, FL 33157. The listed phone number is (305) 255-1966.

What is Gustavo De La Portilla MD PA's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Gustavo De La Portilla MD PA was last updated on April 28, 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.