Individual
DR. MARIANO PORTO JR.
Active
Individual
DR. MARIANO PORTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
4338-320
WI
2084N0400X
Neurology Physician
59064
AZ
2084N0400X
Neurology Physician
MD-53036
IA
2084N0400X
Neurology Physician
MD485254
PA
2084N0600X
Clinical Neurophysiology Physician
Q4668
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100366047
—
WI
Enumeration date
07/04/2011
Last updated
11/10/2025
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