Dr. Myriam Portilla, MD
Family Medicine in Trujillo Alto, Puerto Rico
1619006053- Practice location
- Bg1 Via Del Bosque, Bosque Del Lago Encantada, Trujillo Alto, PR 00976-6058
- Phone
- 787-340-1717
- Fax
- 787-725-3629
- Last updated
- June 3, 2014
Myriam Portilla is a Family Medicine based in Trujillo Alto, PR. Myriam Portilla practices in Trujillo Alto, PR and has the professional credentials of MD. The NPI Number for Myriam Portilla is 1619006053 and holds a License No. 11189 (PR). The current practice location address for Myriam Portilla is Bg1 Via Del Bosque, Bosque Del Lago Encantada, Trujillo Alto, PR 00976-6058 and can be reached out via phone at 787-340-1717 and via fax at 787-725-3629.
Provider Profile Details
- NPI Number
- 1619006053
- Provider Name
- Myriam Portilla
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- Bg1 Via Del Bosque, Bosque Del Lago Encantada, Trujillo Alto, PR 00976-6058
- Phone Number
- 787-340-1717
- Fax Number
- 787-725-3629
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 3, 2007
- Last Update Date
- June 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- Bg1 Via Del Bosque
Bosque Del Lago Encantada
Trujillo Alto, PR 00976-6058 - City
- Trujillo Alto
- State
- Puerto Rico
- Zip
- 00976-6058
- Phone Number
- 787-340-1717
- Fax Number
- 787-725-3629
Provider Business Mailing Address Details
- Address
- Bg1 Via Del Bosque
Bosque Del Lago Encantada
Trujillo Alto, PR 00976-6058 - City
- Trujillo Alto
- State
- PR
- Zip
- 00976-6058
- Phone Number
- 787-340-1717
- Fax Number
- 787-725-3629
License Information
- License Number
- 11189
- License State
- PR
- Taxonomy
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Myriam Portilla, MD?
The NPI number of Dr. Myriam Portilla, MD is 1619006053. It was assigned on March 3, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Myriam Portilla, MD?
Dr. Myriam Portilla, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in PR under license number 11189.
Where does Dr. Myriam Portilla, MD practice?
The practice location is Bg1 Via Del Bosque, Bosque Del Lago Encantada, Trujillo Alto, PR 00976-6058. The office can be reached at 787-340-1717 (phone) or 787-725-3629 (fax).
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 1619006053 directly on the NPPES registry website.