Individual
DR. ANTONIO MANUEL PORTILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CALLE GARCIA DE LA NOCEDA B-25, VILLAS DE RIO GRANDE, PR 00745
(787) 887-3342
Mailing address
JARDINES DE CUENCA BLDG APT 2C, HATO REY, PR 00918
(787) 402-9651
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
6735
PR
Other
Enumeration date
01/04/2006
Last updated
01/11/2010
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