Individual provider · Type 1 NPI

Chiara A. Gonzales-Portillo, MD

Student in an Organized Health Care Education/Training Program · Tampa, FL

NPI number 1215730296 Active

Practice location

3003 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307

Call (813) 586-6399 Map

Mailing address

2995 Drew St
Clearwater, FL 33759-3012

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1215730296

Chiara A. Gonzales-Portillo, MD's National Provider Identifier is 1215730296, issued on Mar 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Tampa, FL. The record was last updated on Aug 17, 2025.