SearchFlorida363LF0000X

Mainevis Diaz Portuondo

NPI 1841711652 · on the registry since 2017 · sole proprietor

Practice

Address
14710 Sw 110th Ter
Miami, FL 33196
Phone
(786) 395-7153

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
106S00000X
363LF0000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-28

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