Individual
DR. ANTONIO MANUEL PORTILLA-CINTRON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
(386) 238-9063
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
1744R1102X
Research Study Specialist
18671
PR
207R00000X
Internal Medicine Physician
Primary
ME132083
FL
Other
Enumeration date
04/03/2014
Last updated
07/05/2019
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