Individual
DR. IGNACIO ALBERTO PORTALES CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 BARNES JEWISH HOSPITAL PLZ, DIV IM NEPHROLOGY, SAINT LOUIS, MO 63110-1003
(314) 362-7603
(314) 747-5213
Mailing address
PO BOX 7412011, CHICAGO, IL 60674-2011
(314) 362-7603
(314) 747-5213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021040899
MO
207RN0300X
Nephrology Physician
Primary
2021040899
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200110124
—
MO
Enumeration date
06/27/2016
Last updated
04/17/2025
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