Mario Luis De La Portilla, CRNA - Medicare Nurse Anesthetist, Certified Registered in Miami, FL

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Mario Luis De La Portilla, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Miami, Florida. His current practice location is 9370 Sunset Dr, Suite A-250, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (305) 595-4510.

Mario Luis De La Portilla is licensed to practice in Florida (license number ARNP9166474) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1568447829.

Contact Information

Mario Luis De La Portilla, CRNA
9370 Sunset Dr, Suite A-250,
Miami, FL 33173-5431
(305) 595-4510
Not Available

Map and Direction




Provider's Profile

Full NameMario Luis De La Portilla
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location9370 Sunset Dr, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1568447829
  • Provider Enumeration Date: 12/09/2005
  • Last Update Date: 06/30/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3072531136
  • Enrollment ID: I20051107000910

Medical Identifiers

Medical identifiers for Mario Luis De La Portilla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568447829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP9166474 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mario Luis De La Portilla allows following entities to bill medicare on his behalf.
Entity NameAnesthesiology Professional Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902856891
PECOS PAC ID: 4688577141
Enrollment ID: O20040130000927
Entity NameGulfstream Anesthesia Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225207483
PECOS PAC ID: 7416028725
Enrollment ID: O20080613000352
Entity NameSarasota Anesthesia Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689857393
PECOS PAC ID: 4284708207
Enrollment ID: O20080808000213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mario Luis De La Portilla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mario Luis De La Portilla, CRNA
Po Box 840207,
Pembroke Pines, FL 33084-2207

Ph: (305) 595-4510		Mario Luis De La Portilla, CRNA
9370 Sunset Dr, Suite A-250,
Miami, FL 33173-5431

Ph: (305) 595-4510

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Miami, FL

Diego F Luna, CRNA
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Jana Cabral, CRNA
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Practice Location: 1400 Nw 12th Ave Fl 3, Miami, FL 33136
Phone: 305-689-1338    Fax: 305-689-5791
Beatriz R Acevedo,
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Practice Location: 1611 Nw 12 Avenue, Miami, FL 33136
Phone: 305-585-6586    
Ms. Gina Marie Corbett, CRNA
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Medicare: Accepting Medicare Assignments
Practice Location: 1611 Nw 12th Ave # C300, Miami, FL 33136
Phone: 305-585-6586    Fax: 305-585-5830
Lucette Charles Baptiste, CRNA
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Medicare: Not Enrolled in Medicare
Practice Location: 1400 Nw 12th Ave, Miami, FL 33136
Phone: 305-689-5376    Fax: 305-689-3990

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.