Daniel Saul Portillo, is a
Technician, Pathology - Clinical Laboratory Director, Non-physician physician based in Round Rock, Texas. Daniel Saul Portillo is licensed to practice in Texas (license number 45D2182351) and his current practice location is 21 Cypress Blvd Ste 1155, Round Rock, Texas. He can be reached at his office (for appointments etc.) via phone at
(512) 832-9145.
NPI number for Daniel Saul Portillo is 1154068419 and his current mailing address is 21 Cypress Blvd Ste 1155, Round Rock, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1154068419.
Physician's Profile
| Full Name | Daniel Saul Portillo |
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| Gender | Male |
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| Speciality | Technician, Pathology - Clinical Laboratory Director, Non-physician |
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| Location | 21 Cypress Blvd Ste 1155, Round Rock, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1154068419
- Provider Enumeration Date: 05/18/2022
- Last Update Date: 05/18/2022
Medical Identifiers
Medical identifiers for Daniel Saul Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154068419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZM0300X | Pathology - Medical Microbiology | 45D2182351 (Texas) | Secondary |
| 247ZC0005X | Technician, Pathology - Clinical Laboratory Director, Non-physician | 45D2182351 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daniel Saul Portillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Daniel Saul Portillo,
21 Cypress Blvd Ste 1155,
Round Rock, TX 78665-1046
Ph: (512) 832-9145 | Daniel Saul Portillo,
21 Cypress Blvd Ste 1155,
Round Rock, TX 78665-1046
Ph: (512) 832-9145 |
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