Active NPIIndividual providerSole proprietor

Dr. Antonio M Portilla-Cintron Jr., MD

Internal Medicine in Daytona Beach, Florida

NPI Number1700204005
Practice location
1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503
Fax
386-238-9063
Last updated
July 5, 2019

Antonio Manuel Portilla-Cintron is an Internal Medicine based in Daytona Beach, FL. Antonio Manuel Portilla-Cintron practices in Daytona Beach, FL and has the professional credentials of MD. The NPI Number for Antonio Manuel Portilla-Cintron is 1700204005 and holds a License No. 18671 (PR). The current practice location address for Antonio Manuel Portilla-Cintron is 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503 and can be reached out via phone at 386-238-9064 and via fax at 386-238-9063.

Provider Profile Details

NPI Number
1700204005
Provider Name
Antonio Manuel Portilla-Cintron
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503
Phone Number
386-238-9064
Fax Number
386-238-9063
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
Yes
Provider Enumeration Date
April 3, 2014
Last Update Date
July 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1630 Mason Ave Ste C
Daytona Beach, FL 32117-4503
State
Florida
Zip
32117-4503
Phone Number
386-238-9064
Fax Number
386-238-9063
Daytona Beach, FL 32117Get directions →

Provider Business Mailing Address Details

Address
200 Corporate Blvd
Lafayette, LA 70508-3870
City
Lafayette
State
LA
Zip
70508-3870
Phone Number
800-893-9698

License Information

License Number (1)
18671
License State (1)
PR
Taxonomy (1)
Specialist, Research Study · 1744R1102X
License Number (2)
ME132083
License State (2)
FL
Taxonomy (2)
Internal Medicine · 207R00000X · 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-Cintron Jr., MD?

The NPI number of Dr. Antonio M Portilla-Cintron Jr., MD is 1700204005. It was assigned on April 3, 2014 and is currently active in the NPPES registry.

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

Dr. Antonio M Portilla-Cintron Jr., MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in PR under license number 18671.

Where does Dr. Antonio M Portilla-Cintron Jr., MD practice?

The practice location is 1630 Mason Ave Ste C, Daytona Beach, FL 32117-4503. The office can be reached at 386-238-9064 (phone) or 386-238-9063 (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 1700204005 directly on the NPPES registry website.

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