Myriam Portilla in Trujillo Alto - Family Medicine

Myriam Portilla - NPI 1619006053

Myriam Portilla is a Family Medicine in Trujillo Alto, Puerto Rico. Myriam Portilla practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Myriam Portilla is 1619006053. The last update date is 2014-06-03.

Myriam Portilla's current location address is Bg1 Via Del Bosque, Trujillo Alto, Puerto Rico. You can contact this provider via phone number 7873401717 and fax number 7877253629. The mailing address for Myriam Portilla is Bg1 Via Del Bosque, Trujillo Alto, Puerto Rico. To know further, please read the information below!

Provider Profile Detail

Provider Name Myriam Portilla
Address Bg1 Via Del Bosque, Trujillo Alto, Puerto Rico
Phone Number 7873401717
Fax Number 7877253629
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1619006053
Provider Enumeration Date 2007-03-03
Last Updated Date 2014-06-03

Provider Mailing Address Detail

Address Bg1 Via Del Bosque
City Trujillo Alto
State Puerto Rico (PR)
Post Code 9766058
Phone Number 7873401717
Fax Number 7877253629

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 11189
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11189 PR LIC ESTATAL

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FAQs about Myriam Portilla

What is the unique 10-digit identifier code assigned to Myriam Portilla by the Centers for Medicare & Medicaid Services?

The Myriam Portilla has been issued the NPI (National Provider Identifier) 1619006053 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Myriam Portilla is physically located?

The Myriam Portilla is situated at the following address: Bg1 Via Del Bosque, Trujillo Alto, PR 9766058.

What is Myriam Portilla's area of expertise and its corresponding taxonomy classification?

The Myriam Portilla's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1619006053 to Myriam Portilla?

The Myriam Portilla received its 1619006053 assignment from the Centers for Medicare & Medicaid Services on 2007-03-03.

As of what date was the information pertaining to Myriam Portilla, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Myriam Portilla, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-06-03.

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