Individual
OLIVIA RAE PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 334-3700
(210) 922-0162
Mailing address
3750 COMMERCIAL AVE, SAN ANTONIO, TX 78221-3117
(210) 922-7000
(210) 924-1374
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1005442
TX
363L00000X
Nurse Practitioner
Primary
1005442
TX
Other
Enumeration date
10/10/2025
Last updated
10/28/2025
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