Angel Portorreal, | |
1743 Summerfield St, Ridgewood, NY 11385-8113 | |
(718) 795-7317 | |
Not Available |
Full Name | Angel Portorreal |
---|---|
Gender | Male |
Speciality | Licensed Practical Nurse |
Location | 1743 Summerfield St, Ridgewood, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033390703 | NPI | - | NPPES |
02888622 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 226755-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Angel Portorreal, 1743 Summerfield St, Ridgewood, NY 11385-8113 Ph: (718) 795-7317 | Angel Portorreal, 1743 Summerfield St, Ridgewood, NY 11385-8113 Ph: (718) 795-7317 |
Orpiano Baluyut, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 435 Stockholm St, Ridgewood, NY 11385 Phone: 718-417-1958 | |
Mrs. Emma Viloria Rivera, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1871 Stanhope St, Ridgewood, NY 11385 Phone: 347-324-1067 | |
Iraida Martinez, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6803 Forest Ave, Ridgewood, NY 11385 Phone: 917-653-2732 | |
Mina Labib, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 6139 Woodbine St, Ridgewood, NY 11385 Phone: 646-226-9266 | |
Sushila Thapa Raut, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1655 Putnam Ave Apt 2l, Ridgewood, NY 11385 Phone: 347-446-5153 | |
Diamond Phillips, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1918 Cornelia St, Ridgewood, NY 11385 Phone: 678-592-6169 |