Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gustavo De La Portilla MD PA

Organization General Practice Physician · NPI 1376797027

Gustavo De La Portilla MD PA provides General Practice Physician services in Miami, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11452 Quail Roost Dr
Miami, FL 33157-6546 Not confirmed with CMS for 10 years — call before visiting
Phone: (305) 255-1966
Fax: (305) 259-0147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ME83614 (FL)

Record details

NPI number1376797027
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gustavo De La Portilla — President · (305) 255-1966
NPI enumeratedNovember 7, 2008
Last updated in NPPESApril 28, 2016
Mailing address11452 Quail Roost Dr, Miami, FL 33157-6546

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