Dr Antonio Manuel Portilla, MD is a
Family Medicine - Geriatric Medicine physician based in Villas De Rio Grande, Puerto Rico. Dr Antonio Manuel Portilla is licensed to practice in Puerto Rico (license number 6735) and his current practice location is Calle Garcia De La Noceda B-25, Villas De Rio Grande, Puerto Rico. He can be reached at his office (for appointments etc.) via phone at
(787) 887-3342.
NPI number for Dr Antonio Manuel Portilla is 1164400818 and his current mailing address is Jardines De Cuenca Bldg Apt 2c, Hato Rey, Puerto Rico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164400818.
Physician's Profile
| Full Name | Dr Antonio Manuel Portilla |
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| Gender | Male |
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| Speciality | Family Medicine - Geriatric Medicine |
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| Location | Calle Garcia De La Noceda B-25, Villas De Rio Grande, Puerto Rico |
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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: 1164400818
- Provider Enumeration Date: 01/04/2006
- Last Update Date: 01/11/2010
Medical Identifiers
Medical identifiers for Dr Antonio Manuel Portilla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164400818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 6735 (Puerto Rico) | 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. Dr Antonio Manuel Portilla 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 |
|---|
Dr Antonio Manuel Portilla, MD
Jardines De Cuenca Bldg Apt 2c,
Hato Rey, PR 00918
Ph: (787) 402-9651 | Dr Antonio Manuel Portilla, MD
Calle Garcia De La Noceda B-25,
Villas De Rio Grande, PR 00745
Ph: (787) 887-3342 |
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