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

Mainevis Barbara Diaz Portuondo

Individual provider Behavior Technician · NPI 1841711652

Mainevis Barbara Diaz Portuondo is a Nurse Practitioner in Miami, Florida. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2017
Specialties on file
3

Practice location Address checks out

14710 SW 110th Ter
Miami, FL 33196-3305
Phone: (786) 395-7153
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN9483647 (FL)
Behavior Technician Taxonomy 106S00000X
Family Nurse Practitioner Taxonomy 363LF0000X · Licence APRN11010172 (FL)

Record details

NPI number1841711652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 30, 2017
Last updated in NPPESMarch 28, 2025
Certification dateMarch 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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