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1073939369
PORTILLA DIAGNOSTIC GROUP LLC
MIAMI, FL
NPI
1073939369
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Entity Type
Organization
Authorized Contact
MARIANELA DE LA PORTILLA
Medical Director
305-631-1220
Organization Subpart ?
No
Primary Taxonomy
261QR0200X Clinic/Center, Radiology
Enumeration Date
2014-03-11
Last Update Date
2014-03-13
Business Address
PORTILLA DIAGNOSTIC GROUP LLC
330 SW 27TH AVE STE 302-402
MIAMI, FL 33135-2961
Phone number: 305-631-1220
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Mailing Address
PORTILLA DIAGNOSTIC GROUP LLC
330 SW 27TH AVE STE 302-402
MIAMI, FL 33135-2961
Phone number: 305-631-1220
Copy
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