Provider Demographics
NPI:1992692032
Name:PORRATA, JOSE A (APRN)
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:A
Last Name:PORRATA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8910 SW 4TH TER
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33174-2355
Mailing Address - Country:US
Mailing Address - Phone:305-510-6301
Mailing Address - Fax:305-510-6301
Practice Address - Street 1:8910 SW 4TH TER
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33174-2355
Practice Address - Country:US
Practice Address - Phone:305-510-6301
Practice Address - Fax:305-510-6301
Is Sole Proprietor?:No
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11036623363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner