| Rafael Ignacio Portuondo, | |
|
2686 Nw 97th Ave, Doral, FL 33172-1400 | |
| (786) 542-5867 | |
| (786) 244-3781 |
| Full Name | Rafael Ignacio Portuondo |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist In Private Practice |
| Experience | 2 Years |
| Location | 2686 Nw 97th Ave, Doral, 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, 2686 Nw 97th Ave, Doral, FL 33172-1400 Ph: (786) 542-5867 |
Tamara Hidalgo, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 3655 Nw 107th Ave, Ste. 107, Doral, FL 33178 Phone: 786-452-0774 Fax: 785-452-0764 | |
David Anthony Paula, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3655 Nw 107th Ave, Suite # 107, Doral, FL 33178 Phone: 786-452-0774 Fax: 786-452-0764 | |
Fanny Franco, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8181 Nw 36 Street, Unit 4, Doral, FL 33166 Phone: 305-591-9108 Fax: 305-591-9181 | |
Dror Yair, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9733 Nw 41st St, Doral, FL 33178 Phone: 305-597-5209 | |
Emelda Santos, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7800 Nw 25th St, Suite 4, Doral, FL 33122 Phone: 615-778-4066 | |
Michelle Marie Reyes, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2600 Nw 87th Ave Ste 22, Doral, FL 33172 Phone: 305-592-5555 Fax: 305-592-6067 | |
Ashley Morgan Nieto, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9615 Nw 41st St, Doral, FL 33178 Phone: 305-343-7220 |