Carmen G Portogues PA-C

NPI 1023091717 - Physician Assistant - 363A00000X

NPI Details
NPI 1023091717
Gender Female
Enumeration Date 11/28/2005
Last Updated 12/31/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
1901 S.W. 172 AVE.
MEMORIAL HOSPITAL MIRAMAR
MIRAMAR FL, 33029, US
Phone (954) 538-5000
Fax
Business Location
8814 N.W. 180 TERRACE
HIALEAH FL, 33018, US
Phone (305) 819-8197
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA2405
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According to our database, Carmen G Portogues PA-C NPI is 1023091717, taxonomy code is 363A00000X and license number is PA2405, license state is located at Florida. Carmen G Portogues PA-C physically located at 1901 S.w. 172 Ave., Miramar FL, 33029. NPI Number Carmen G Portogues PA-C has the Individual type.

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1023091717 NPI number is provided on an as is basis without warranty of any kind. 1023091717 is maintained by the National Plan & Provider Enumeration System. The contents of Carmen G Portogues PA-C are for informational purposes only.