Individual
DR. MARTIN A PORTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 SILAS CREEK PKWY, WINSTON SALEM, NC 27127-5627
(704) 251-8228
Mailing address
102 WOODMONT BLVD STE 600, NASHVILLE, TN 37205-5250
(888) 987-1151
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013-00866
NC
207R00000X
Internal Medicine Physician
D0042033
MD
207R00000X
Internal Medicine Physician
MD19316
DC
Other
Enumeration date
11/16/2006
Last updated
09/24/2025
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