Individual provider · Type 1 NPI

Rosa Maria Portillo, FNP-C

Family Nurse Practitioner · Pembroke Pines, FL

NPI number 1639951528 Active

Practice location

880 SW 145th Ave Ste 202
Pembroke Pines, FL 33027-6171

Mailing address

1324 20th Ave SW # 1
Minot, ND 58701-6452

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X116818 (NE)
Family Nurse Practitioner 363LF0000XC-APN.0106626-C-NP (CO)
Family Nurse Practitioner 363LF0000XGAA-NP005051 (GA)
Family Nurse Practitioner 363LF0000X228463 (OK)
Family Nurse Practitioner 363LF0000X89332 (NM)
Family Nurse Practitioner 363LF0000XA190615 (IA)
Family Nurse Practitioner Primary 363LF0000X200494 (ND)
Family Nurse Practitioner 363LF0000X0024196913 (VA)
Family Nurse Practitioner 363LF0000XAPRN11029002 (FL)
Family Nurse Practitioner 363LF0000X41920 (TN)

Family Nurse Practitioner: Definition to come...

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About NPI 1639951528

Rosa Maria Portillo, FNP-C's National Provider Identifier is 1639951528, issued on Oct 16, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pembroke Pines, FL. The record was last updated on Jul 6, 2026.