Juan Carlos Portela in Glendale - Dentist
Juan Carlos Portela - NPI 1952599649
Juan Carlos Portela is a Dentist in Glendale, New York. Juan Carlos Portela practices all healthcare services and medical treatments related to Dentist. The NPI Number for Juan Carlos Portela is 1952599649. The last update date is 2016-02-16.
Juan Carlos Portela's current location address is 6222 Myrtle Ave, Glendale, New York. You can contact this provider via phone number 7188217432. The mailing address for Juan Carlos Portela is 6222 Myrtle Ave, Glendale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Juan Carlos Portela |
|---|---|
| Address | 6222 Myrtle Ave, Glendale, New York |
| Phone Number | 7188217432 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1952599649 |
|---|---|
| Provider Enumeration Date | 2007-10-09 |
| Last Updated Date | 2016-02-16 |
Provider Mailing Address Detail
| Address | 6222 Myrtle Ave |
|---|---|
| City | Glendale |
| State | New York (NY) |
| Post Code | 113856236 |
| Phone Number | 7188217432 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 53665 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique provider identifier assigned to Juan Carlos Portela?
The Juan Carlos Portela has been issued the NPI (National Provider Identifier) 1952599649 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Juan Carlos Portela located?
The Juan Carlos Portela is located at 6222 Myrtle Ave, Glendale, NY 113856236.
What is Juan Carlos Portela's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Juan Carlos Portela is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1952599649 to Juan Carlos Portela?
The Juan Carlos Portela received its 1952599649 assignment from the Centers for Medicare & Medicaid Services on 2007-10-09.
As of what date was the information regarding Juan Carlos Portela, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Juan Carlos Portela, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-02-16.
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