Individual provider · Type 1 NPI

Olivia Rae Portillo, DNP, FNP-C

Nurse Practitioner · San Antonio, TX

NPI number 1083589816 Active

Practice location

3750 Commercial Ave
San Antonio, TX 78221-3117

Fax (210) 922-0162

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1005442 (TX)
Registered Nurse 163W00000X1005442 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1083589816

Olivia Rae Portillo, DNP, FNP-C's National Provider Identifier is 1083589816, issued on Oct 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 28, 2025.