Individual
EUGENIO A PORTELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17 FERNANDEZ ST, SAN JUAN, PR 00918
(787) 751-0330
(787) 767-7786
Mailing address
PO BOX 364887, SAN JUAN, PR 00936-4887
(787) 751-0330
(787) 767-7786
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4741
PR
Other
Enumeration date
04/19/2006
Last updated
07/08/2007
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