Active NPIIndividual providerSole proprietor

Dr. Antonio M Portilla, MD

Family Medicine, Geriatric Medicine in Villas De Rio Grande, Puerto Rico

NPI Number1164400818
Practice location
Calle Garcia De La Noceda B-25, Villas De Rio Grande, PR 00745
Fax
—
Last updated
January 11, 2010

Antonio Manuel Portilla is a Family Medicine, Geriatric Medicine based in Villas De Rio Grande, PR. Antonio Manuel Portilla practices in Villas De Rio Grande, PR and has the professional credentials of MD. The NPI Number for Antonio Manuel Portilla is 1164400818 and holds a License No. 6735 (PR). The current practice location address for Antonio Manuel Portilla is Calle Garcia De La Noceda B-25, Villas De Rio Grande, PR 00745 and can be reached out via phone at 787-887-3342.

Provider Profile Details

NPI Number
1164400818
Provider Name
Antonio Manuel Portilla
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Calle Garcia De La Noceda B-25, Villas De Rio Grande, PR 00745
Phone Number
787-887-3342
Primary Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X
Sole Proprietor
Yes
Provider Enumeration Date
January 4, 2006
Last Update Date
January 11, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
Calle Garcia De La Noceda B-25
Villas De Rio Grande, PR 00745
Zip
00745
Phone Number
787-887-3342
Villas De Rio Grande, PR 00745Get directions →

Provider Business Mailing Address Details

Address
Jardines De Cuenca Bldg Apt 2C
Hato Rey, PR 00918
City
Hato Rey
State
PR
Zip
00918
Phone Number
787-402-9651

License Information

License Number
6735
License State
PR
Taxonomy
Family Medicine, Geriatric Medicine · 207QG0300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Antonio M Portilla, MD?

The NPI number of Dr. Antonio M Portilla, MD is 1164400818. It was assigned on January 4, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Antonio M Portilla, MD?

Dr. Antonio M Portilla, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in PR under license number 6735.

Where does Dr. Antonio M Portilla, MD practice?

The practice location is Calle Garcia De La Noceda B-25, Villas De Rio Grande, PR 00745. The office can be reached at 787-887-3342 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164400818 directly on the NPPES registry website.

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