OrganizationActive
Portilla Medical Group LLC
NPI 1124467717 · Multi-Specialty Clinic/Center · Miami, FL
Provider details
- NPI number
- 1124467717
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marianela De La Portilla, President/Medical Director(305) 631-1220
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
330 Sw 27th Ave
Ste 302
Miami, FL 33135-2961
Phone: (305) 631-1220
Fax: (305) 631-1251
Street-level locationGet directions
Mailing address
330 Sw 27th Ave
Miami, FL 33135-2961
Registry dates
- Enumerated
- 2013-06-18
- Last updated
- 2014-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.