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Deactivated NPI 1104875178 Deactivated / Inactive NPI Female Practitioner

Dr. Marianela De La Portilla , MD

General Practice • Miami, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marianela De La Portilla has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2006
NPI Deactivation Date October 02, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Marianela De La Portilla, MD was a registered General Practice practicing in Miami, FL. Throughout an active medical career spanning 19 years, Dr. De La Portilla provided care at the practice location at 330 SW 27TH AVE until profile deactivation on 2025-10-02.

Historical Medicare Part B clinical services included established patient outpatient office visit, ultrasound of heart with color-depicted blood flow, rate, direction and valve function, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

330 Sw 27th Ave
Suite 302

Miami, FL 331352961

Telephone 3056311220
Fax 3056311251
Associated Practice Facility / Clinic
🏢 C&s Health Center Inc Facility NPI 1770533036

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.1 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
333 Specialists

Practicing in Miami, FL (2490 Statewide)

Telehealth Adoption Rate
7.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
1,855 190 $144.05 $114.14
99213 Established patient office or other outpatient visit, typically 15 minutes
333 156 $98.00 $77.73
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
82 41 $218.29 $118.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
80 80 $155.00 $122.57
76705 Limited ultrasound scan of abdomen
42 20 $109.31 $48.11
93000 Routine ekg using at least 12 leads including interpretation and report
39 36 $23.00 $17.11
93880 Ultrasound of both sides of head and neck blood flow
24 12 $193.83 $106.25
36415 Insertion of needle into vein for collection of blood sample
24 23 $5.00 $2.94
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
19 18 $26.00 $21.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
17 16 $58.00 $46.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
15 15 $33.00 $26.59
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
14 14 $229.00 $180.75
J1885 Injection, ketorolac tromethamine, per 15 mg
11 11 $34.09 $0.60

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License FL ME62522

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370697400 (FL)
Commercial Insurance / Payer ID Bcbs Of Fl
15286 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
NPI 1033183652

Doctor of Medicine (M.D.)

Carlos Velazquez

Massage Therapist

NPI 1225315559
Dr. Ana Caos , MD

Family Medicine

NPI 1245343888

Doctor of Medicine (M.D.)

Adam Murphy

Radiologic Technologist - Sonography

NPI 1285672162
Oscar Navarro , ARNP

Nurse Practitioner - Family

NPI 1346712429

Advanced Registered Nurse Practitioner

NPI 1407865504

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location October 17, 2025

Registered at 330 SW 27TH AVE, SUITE 302, MIAMI, FL 331352961 (Tel: 3056311220)

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Updated Business Mailing Address October 17, 2025

Registered at 330 SW 27TH AVE, SUITE 302, MIAMI, FL 331352961 (Tel: 3056311220)

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Provider Name / Credentials Updated October 17, 2025

Recorded as MARIANELA DE LA PORTILLA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2025

General Practice (License #ME62522 in FL)

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NPI Profile Deactivated October 02, 2025

Record deactivated on October 02, 2025

NPI Profile Active February 12, 2014

NPI status registered as active in NPPES database

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Updated Practice Location February 12, 2014

Registered at 330 SW 27TH AVE, SUITE 302, MIAMI, FL 331352961 (Tel: 3056311220)

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Updated Business Mailing Address February 12, 2014

Registered at 330 SW 27TH AVE, SUITE 302, MIAMI, FL 331352961 (Tel: 3056311220)

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Provider Name / Credentials Updated February 12, 2014

Recorded as MARIANELA DE LA PORTILLA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2014

General Practice (License #ME62522 in FL)

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Initial NPI Registration & Enumeration May 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104875178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2006
Last Update: October 17, 2025
Deactivation Date: October 02, 2025
Sole Proprietor: Yes

Mailing Address

330 Sw 27th Ave, Suite 302

Miami, FL 331352961

Phone: 3056311220

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.