Individual
CARLOS ALEJANDRO PORTALES CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1425 PORTLAND AVE, ROCHESTER, NY 14621-3011
(585) 922-4000
Mailing address
656 OCEAN AVE APT 603, REVERE, MA 02151-1462
(585) 435-2647
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024041913
MO
207RI0200X
Infectious Disease Physician
Primary
2024041913
MO
Other
Enumeration date
07/28/2020
Last updated
05/29/2025
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