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General NPI Number Information
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NPI Number | 1215924196
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Entity Type | Individual
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Provider Name | ALEXANDER PORTUGAL MD
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Gender | Male
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 06/21/2024
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Provider Practice Location Address
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Address Line | 7000 SW 62ND AVE STE 600
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-4728
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Country | US
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Telephone | 305-284-7577
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Fax | 305-284-7688
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Provider Business Mailing Address
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Address Line | 5996 SW 70TH ST FL 5
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3540
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Country | US
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Telephone | 305-284-7577
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Fax | 305-284-7688
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 68146
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME116362
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License Number State | FL
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