| Carlos Portu Md Pllc | |
|
950 Manatee Rd Naples FL 34114-8219 | |
| (239) 235-7908 | |
| Not Available |
| Full Name | Carlos Portu Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 950 Manatee Rd, Naples, Florida |
| Authorized Official Name and Position | Carlos Portu (OWNER) |
| Authorized Official Contact | 9549933922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Portu Md Pllc 950 Manatee Rd Naples FL 34114-8219 Ph: (239) 235-7908 | Carlos Portu Md Pllc 950 Manatee Rd Naples FL 34114-8219 Ph: (239) 235-7908 |
| NPI Number | 1184119810 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 05/09/2023 |
| Medicare PECOS PAC ID | 8729337274 |
|---|---|
| Medicare Enrollment ID | O20180816003227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184119810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME103947 (Florida) | Primary |
| Provider Name | Carlos Portu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275735367 PECOS PAC ID: 5193862746 Enrollment ID: I20091030000119 |
| Provider Name | Melissa Kaye Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316455074 PECOS PAC ID: 1850648536 Enrollment ID: I20180726001433 |
| Provider Name | Paul M Stein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649351966 PECOS PAC ID: 1850491705 Enrollment ID: I20181211002666 |
| Provider Name | Louis George Dusseault |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457353799 PECOS PAC ID: 7517943541 Enrollment ID: I20190501003360 |
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