Search › Florida › 101YM0800X
Manuel De La Portilla, MH6485
NPI 1831357474 · on the registry since 2008
Practice
- Address
- 15660 Sw 72nd St
Miami, FL 33193 - Phone
- (786) 697-1150
- Fax
- (786) 541-1526
- Organisation at this address
- The Gymnastics Academy, Co.
Miracle Community Behavioral Center CorpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Additional practice sites
- 7800 Sw 57th Ave, South Miami, FL
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida