Dr Raul M Portillo, MD | |
1200 Brooklyn Ave Ste 115, San Antonio, TX 78212-4815 | |
(210) 224-6531 | |
(210) 226-0402 |
Full Name | Dr Raul M Portillo |
---|---|
Gender | Male |
Speciality | Hematology/oncology |
Experience | 47 Years |
Location | 1200 Brooklyn Ave Ste 115, San Antonio, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265473391 | NPI | - | NPPES |
000V5772 | Medicaid | NM | |
8R1527 | Other | TX | BLUE CROSS OF TEXAS |
123759601 | Medicaid | TX | |
177173501 | Medicaid | TX | |
123759602 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RH0003X | Internal Medicine - Hematology & Oncology | G4193 (Texas) | Primary |
207RX0202X | Internal Medicine - Medical Oncology | G4193 (Texas) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Medical Center | San antonio, TX | Hospital |
Methodist Hospital | San antonio, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Oncology Pa | 5395658934 | 886 |
Entity Name | Texas Oncology Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811944101 PECOS PAC ID: 5395658934 Enrollment ID: O20031124000323 |
Entity Name | Texas Tech University Health Sciences Center El Paso |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598705055 PECOS PAC ID: 7517864754 Enrollment ID: O20031216000806 |
Mailing Address | Practice Location Address |
---|---|
Dr Raul M Portillo, MD Po Box 911230, Dallas, TX 75391-1230 Ph: (972) 997-8000 | Dr Raul M Portillo, MD 1200 Brooklyn Ave Ste 115, San Antonio, TX 78212-4815 Ph: (210) 224-6531 |
Dr. Dennis Anthony Ruff, M.D. Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: 8307 Gault Ln, San Antonio, TX 78209 Phone: 210-798-5112 | |
Eduardo N. Pollono, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-567-6960 | |
Zarema J Singson, M.D. Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 5223 Hamilton Wolfe Rd, San Antonio, TX 78229 Phone: 210-614-1234 Fax: 210-614-0952 | |
Sapna Raghunathan, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 8300 Floyd Curl Dr, San Antonio, TX 78229 Phone: 210-450-9490 Fax: 210-450-6065 | |
Dr. Jonathan Edward Slovik, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 4502 Medical Dr, San Antonio, TX 78229 Phone: 210-358-4000 Fax: 210-358-0647 | |
Mr. Paul Joseph Fanucchi, NP Hematology & Oncology Medicare: Not Enrolled in Medicare Practice Location: Marianist Residence, 520 Fondham, San Antonio, TX 78228 Phone: 210-434-4157 Fax: 210-433-6005 | |
Socrates B Aramburu, MD Hematology & Oncology Medicare: Accepting Medicare Assignments Practice Location: 1100 Mccullough Ave, Suite 300, San Antonio, TX 78212 Phone: 210-271-3204 Fax: 210-222-2761 |