Dr. Antonio Manuel Portilla
Family Doctor - Geriatric Medicine
Calle Garcia De La Noceda B-25
Villas De Rio Grande
, Puerto Rico 00745
Dr. Antonio Manuel Portilla
Family Doctor - Geriatric Medicine
Calle Garcia De La Noceda B-25
Villas De Rio Grande
, Puerto Rico 00745
(787) 402-9651
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Antonio Manuel Portilla
- Jardines De Cuenca Bldg Apt 2c
- Hato Rey, PR
- Zip : 00918
- Phone : (787) 402-9651
Second Address
- Dr. Antonio Manuel Portilla
- Calle Garcia De La Noceda B-25
- Villas De Rio Grande, PR
- Zip : 00745
- Phone : (787) 887-3342
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 6735 | PR |
National Provider Identifier
| NPI | 1164400818 |
|---|---|
| Provider Name | Dr. Antonio Manuel Portilla |
| First Address | Hato Rey, PR 00918 |
| Second Address | Villas De Rio Grande, PR 00745 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2006 |
| Last Update Date | 11/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.