Provider Demographics
NPI:1124080163
Name:PORRO, YAMILE B (MD)
Entity type:Individual
Prefix:DR
First Name:YAMILE
Middle Name:B
Last Name:PORRO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:8260 W FLAGLER ST
Mailing Address - Street 2:SUITE 2-M
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2069
Mailing Address - Country:US
Mailing Address - Phone:305-559-4599
Mailing Address - Fax:305-559-4598
Practice Address - Street 1:8260 W FLAGLER ST
Practice Address - Street 2:SUITE 2-M
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2069
Practice Address - Country:US
Practice Address - Phone:305-559-4599
Practice Address - Fax:305-559-4598
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-05
Last Update Date:2007-08-28
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Provider Licenses
StateLicense IDTaxonomies
FLME0083959207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLH53078Medicare UPIN