MARIO LUIS DE LA PORTILLA

MIAMI, FL
NPI1568447829
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: FL  ARNP9166474)
Enumeration Date2005-12-09
Last Update Date2016-06-30
Business Address
-- MARIO LUIS DE LA PORTILLA CRNA
9370 SUNSET DR SUITE A-250
MIAMI, FL 33173-5431
Phone number: 305-595-4510
Mailing Address
-- MARIO LUIS DE LA PORTILLA CRNA
PO BOX 840207
PEMBROKE PINES, FL 33084-2207
Phone number: 305-595-4510
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