| Lisette Portes MD PA | |
|
9995 Sw 72nd St Ste 202 Miami FL 33173-4662 | |
| (305) 332-9821 | |
| (305) 356-4048 |
| Full Name | Lisette Portes MD PA |
|---|---|
| Speciality | Clinic/Center |
| Location | 9995 Sw 72nd St Ste 202, Miami, Florida |
| Authorized Official Name and Position | Lisette Portes (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3053329821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisette Portes MD PA 3115 Sw 98th Ct Miami FL 33165-2954 Ph: (305) 332-9821 | Lisette Portes MD PA 9995 Sw 72nd St Ste 202 Miami FL 33173-4662 Ph: (305) 332-9821 |
| NPI Number | 1720750631 |
|---|---|
| Provider Enumeration Date | 09/29/2021 |
| Last Update Date | 09/29/2021 |
| Certification Date | 09/29/2021 |
| Medicare PECOS PAC ID | 2062810807 |
|---|---|
| Medicare Enrollment ID | O20211008002499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720750631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (NU) | Primary |
| Provider Name | Lisette Portes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508137670 PECOS PAC ID: 9931524972 Enrollment ID: I20200807000296 |
Miami Family Care Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15806 Sw 98th St, Miami, FL 33196 Phone: 305-586-9812 |
Medserve of Dade County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15328 Nw 7th Ave, Miami, FL 33169 Phone: 786-235-0103 Fax: 305-681-5620 |
Ontime Medical Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7392 Nw 35th Ter, 306, Miami, FL 33122 Phone: 786-331-7886 |
Dagmar Lemus MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Nw 14th St, Suite 303, Miami, FL 33125 Phone: 305-548-4005 Fax: 305-548-4055 |
Midway Medical Center, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8360 W Flagler St, Suite 100, Miami, FL 33144 Phone: 305-554-7200 Fax: 305-554-8173 |
Mario L Nunez M D P a Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9075 Sw 87th Ave, Suite#414, Miami, FL 33176 Phone: 305-596-9800 Fax: 305-596-9808 |