Healthcare Provider Details

I. General information

NPI: 1821375015
Provider Name (Legal Business Name): MS. CLAUDIA M PORRAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2011
Last Update Date: 11/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11690 SW 72ND ST
MIAMI FL
33173-2691
US

IV. Provider business mailing address

9012 SW 151ST AVENUE RD
MIAMI FL
33196-1355
US

V. Phone/Fax

Practice location:
  • Phone: 305-595-3546
  • Fax: 305-595-3542
Mailing address:
  • Phone: 305-766-3091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS32025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: