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

Individual provider Occupational Therapy Assistant · NPI 1679117691

Jacqueline Angeles Portobanco is an Occupational Therapy Assistant in Miami Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
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Practice location Address checks out

18713 NW 46th Ave
Miami Gardens, FL 33055-2655
Phone: (754) 610-0209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA16049 (FL)

Record details

NPI number1679117691
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 1, 2019
Last updated in NPPESNovember 1, 2019

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