Individual provider · Type 1 NPI

Andrea L. Santos Portilla, MD

Student in an Organized Health Care Education/Training Program · Hartford, CT

NPI number 1780930693 Active

Practice location

114 Woodland St
Hartford, CT 06105-1208

Call (860) 714-5170 Map

Mailing address

33 Woodland Park
Hartford, CT 06105-1216

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 1780930693

Andrea L. Santos Portilla, MD's National Provider Identifier is 1780930693, issued on Jul 29, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Hartford, CT. The record was last updated on Jul 29, 2012.