Individual provider · Type 1 NPI

Gabriela Maria Portilla-Maldonado, MD

Student in an Organized Health Care Education/Training Program · Newark, NJ

NPI number 1679320295 Active

Practice location

185 S Orange Ave Bldg E-506
Newark, NJ 07103-2757

Call (973) 972-4300 Map

Mailing address

185 S Orange Ave # MSBE-506
Newark, NJ 07103-2757

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 1679320295

Gabriela Maria Portilla-Maldonado, MD's National Provider Identifier is 1679320295, issued on May 1, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Newark, NJ. The record was last updated on May 1, 2024.