Individual
DR. ARIEL PORTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2213 PONCE BYP, PONCE, PR 00717-1310
(787) 840-8686
Mailing address
13681 DOCTORS WAY, FORT MYERS, FL 33912-4300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME166947
FL
208D00000X
General Practice Physician
22900
PR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2020
Last updated
10/05/2024
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