Individual
DR. ROBERTO CARLOS PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4757
(252) 744-4125
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
15720
PR
207P00000X
Emergency Medicine Physician
Primary
2013-01711
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245215037
—
NC
01
—
1824N
BCBS NC
NC
01
—
295964
MEDICAL LICENSE
NY
Enumeration date
12/14/2005
Last updated
02/28/2024
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