Organization
MARIO J. PORTOCARRERO M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO JOSE PORTOCARRERO M.D. (PRESIDENT)
(713) 774-1401
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST, SUITE 101 AC, HOUSTON, TX 77081-4600
(713) 774-1401
(713) 774-1467
Mailing address
6550 MAPLERIDGE ST, SUITE 101 AC, HOUSTON, TX 77081-4600
(713) 774-1401
(713) 774-1467
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121331603
—
TX
05
—
121331604
—
TX
Enumeration date
07/12/2006
Last updated
09/07/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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