Individual provider · Type 1 NPI

Humberto S. Portillo, MD

Specialist · Jackson Heights, NY

NPI number 1407964828 Active

Practice location

7910 34th Ave, 1D
Jackson Heights, NY 11372-2437

Call (718) 424-2029 Map

Fax (718) 429-0913

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X116009 (NY)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1407964828

Humberto S. Portillo, MD's National Provider Identifier is 1407964828, issued on Aug 26, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson Heights, NY. The record was last updated on Nov 14, 2012.