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

Rafael Ignacio Portuondo

Individual provider Physical Therapist · NPI 1457177065

Rafael Ignacio Portuondo is a Physical Therapist in Private Practice in Doral, Florida. Qualified in 2024, 2 years ago. Practices with Martinez Physical Therapy Inc, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
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Practice location Address checks out

2686 NW 97th Ave
Doral, FL 33172-1400
Phone: (786) 542-5867
Fax: (786) 244-3781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10000 Sw 56th St Ste 14, Miami, FL 33165-7161 — (786) 536-7598

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT42559 (FL)

Record details

NPI number1457177065
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 27, 2024
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Martinez Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Doral