MIRIAM GARCIA PORTELA MD
NPI 1407865504
General Practice in Miami, FL
NPI Status: Active since August 07, 2006
Contact Information
330 SW 27TH AVE
509
MIAMI, FL
ZIP 33135
Phone: (305) 541-9709
Fax: (305) 541-9304
- Individual
- Female
- Years of Experience 53
- General Practice
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- CLIA Number: 10D0984572
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-14-2026
About MIRIAM GARCIA PORTELA
This page provides the complete NPI Profile along with additional information for Miriam Garcia Portela, a primary care provider established in Miami, Florida with a medical specialization in General Practice and more than 53 years of experience. The healthcare provider is registered in the NPI registry with number 1407865504 assigned on August 2006. The practitioner's primary taxonomy code is 208D00000X with license number 0055651 (FL). The provider is registered as an individual and her NPI record was last updated 18 years ago.
- NPI
- 1407865504
- Provider Name
- MIRIAM GARCIA PORTELA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 330 SW 27TH AVE 509 MIAMI, FL 33135
- Location Phone
- (305) 541-9709
- Location Fax
- (305) 541-9304
- Mailing Address
- 330 SW 27TH AVE 509 MIAMI, FL 33135
- Mailing Phone
- (305) 541-9709
- Mailing Fax
- (305) 541-9304
- Medical School Name
- OTHER
- Graduation Year
- 1973
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-07-2006
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Miriam Garcia Portela sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 0055651
- License State
- FL
- Taxonomy Description
- 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
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Standard - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
08984A | MEDICARE ID-TYPE UNSPECIFIED (04) | FL | |
E58285 | MEDICARE UPIN (02) | FL |
Medicare Participation & PECOS Enrollment Status
Miriam Garcia Portela is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Miriam Garcia Portela is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 6406932524
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20080328000453
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 40 times for 18 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 70 times for 25 patientsCLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 10D0984572
- Facility Type
- Physician Office
- Certificate Effective Date
- May 15, 2024
- Certificate Expiration Date
- May 14, 2026
- Laboratory Director
- MIRIAM GARCIA PORTELA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Miriam Garcia Portela to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 4 | 0 | 7 | 8 | 6 | 5 | 5 | 0 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 0 | 7 | 16 | 6 | 10 | 5 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 0 + 7 + 1 + 6 + 6 + 1 + 0 + 5 + 0 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1407865504 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
LEON FRANCISCO HIRZEL III MD
Urology
330 SW 27TH AVE
SUITE 503
MIAMI, FL
ZIP 33135
MR. ADAM MURPHY
Radiologic Technologist
(Radiography)
330 SW 27TH AVE
SUITE 708
MIAMI, FL
ZIP 33135
MARIA TERESA LLOPIZ M.D.
Specialist
330 SW 27TH AVE
SUITE 603
MIAMI, FL
ZIP 33135
ADVANCE THERAPY CENTER
Chiropractor
330 SW 27TH AVE
STE 103
MIAMI, FL
ZIP 33135
FINLAY CLINICAL LABORATORY INC
Clinical Medical Laboratory
330 SW 27TH AVE
STE 101
MIAMI, FL
ZIP 33135
MIRIAM GARCIA PORTELA MD PA
General Practice
330 SW 27TH AVE
SUITE 509
MIAMI, FL
ZIP 33135
DR. ANA CAOS M.D.
Family Medicine
330 SW 27TH AVE
SUITE 703
MIAMI, FL
ZIP 33135
BLUE MEDICAL NETWORK INC
General Practice
330 SW 27TH AVE
SUITE 703
MIAMI, FL
ZIP 33135
MR. LUIS M SANTAMARINA DMD
Dentist
330 SW 27TH AVE
SUITE 602
MIAMI, FL
ZIP 33135
KEY LARGO MEDICAL CENTER CORP
Clinic/Center
330 SW 27TH AVE
STE 504
MIAMI, FL
ZIP 33135
MR. EDUARDO MARCIAL ALMAGUER M.D.
General Practice
330 SW 27TH AVE
SUITE 404
MIAMI, FL
ZIP 33135
DR. SANTIAGO J JACINTO DDS
Dentist
(General Practice)
330 SW 27TH AVE
#704
MIAMI, FL
ZIP 33135
LA COLONIA MEDICAL CENTER
Family Medicine
330 SW 27TH AVE
SUITE 707
MIAMI, FL
ZIP 33135
THE PENA MEDICAL GROUP CO
Family Medicine
330 SW 27TH AVE
STE 701
MIAMI, FL
ZIP 33135
PREMIER FAMILY HEALTHCARE INC
Family Medicine
330 SW 27TH AVE
401
MIAMI, FL
ZIP 33135
EDUARDO M ALMAGUER MD PA
Clinic/Center
(Primary Care)
330 SW 27TH AVE
SUITE 404
MIAMI, FL
ZIP 33135
ABC THERAPY CENTER CORP
General Practice
330 SW 27TH AVE
STE 505
MIAMI, FL
ZIP 33135
DD MEDICAL SERVICE INC
General Practice
330 SW 27TH AVE
STE 606
MIAMI, FL
ZIP 33135
ROMANOFF & ASSOCIATES INC
General Practice
330 SW 27TH AVE
STE 504
MIAMI, FL
ZIP 33135
TOUCHING LIVES HOME HEALTH, INC.
Home Health
330 SW 27TH AVE
SUITE 303
MIAMI, FL
ZIP 33135
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407865504, enumerated as an "individual" on August 07, 2006.
The provider is located at 330 SW 27TH AVE 509 MIAMI, FL 33135 and the phone number is (305) 541-9709.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: Ambetter Health, Ambetter of Alabama, AmeriHealth. Please consult your insurance carrier or call the provider to verify.