Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gustavo De La Portilla MD PA

Organization General Practice Physician · NPI 1376797027

Gustavo De La Portilla MD PA is a General Practice Physician 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
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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