| Rafael Ignacio Portuondo, | |
|
8935 S Dixie Hwy, Pinecrest, FL 33156-1619 | |
| (305) 722-0568 | |
| (305) 670-0899 |
| Full Name | Rafael Ignacio Portuondo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 8935 S Dixie Hwy, Pinecrest, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457177065 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT42559 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pinecrest Physical Therapy Llc | 6406943406 | 4 |
| Provider Name | Pinecrest Physical Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174607006 PECOS PAC ID: 6406943406 Enrollment ID: O20071107000137 |
| Provider Name | Pinecrest Wellness Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1134767296 PECOS PAC ID: 5092183822 Enrollment ID: O20221128002616 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Ignacio Portuondo, 6133 Sw 46th Ter, Miami, FL 33155-6022 Ph: (786) 586-1110 | Rafael Ignacio Portuondo, 8935 S Dixie Hwy, Pinecrest, FL 33156-1619 Ph: (305) 722-0568 |
Leilani Padron, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8185 Sw 117th St, Pinecrest, FL 33156 Phone: 786-615-3583 | |
Oscar Espinosa, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12651 S Dixie Hwy Ste 205, Pinecrest, FL 33156 Phone: 305-232-9222 | |
Nikole Guandique, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 8603 S Dixie Hwy Ste 308, Pinecrest, FL 33156 Phone: 305-661-1441 | |
Julian Daniel Abreu, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9619 S Dixie Hwy, Pinecrest, FL 33156 Phone: 305-722-0568 | |
Natalie Gonzalez, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12651 S Dixie Hwy Ste 205, Pinecrest, FL 33156 Phone: 305-232-9222 Fax: 305-232-8808 | |
Daniel Foen, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 12651 S Dixie Hwy Ste 205, Pinecrest, FL 33156 Phone: 305-232-9222 | |
Grant Alexander Hollander, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13101 S Dixie Hwy Ste 330, Pinecrest, FL 33156 Phone: 786-732-7438 |