Individual provider · Type 1 NPI

Mauricio Portillo

Family Medicine Physician · Shreveport, LA

NPI number 1871267013 Active

Practice location

1501 Kings Hwy
Shreveport, LA 71103-4228

Call (318) 626-0434 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Family Medicine Physician Primary 207Q00000X47345 (OK)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1871267013

Mauricio Portillo's National Provider Identifier is 1871267013, issued on Aug 2, 2021. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Shreveport, LA. The record was last updated on May 29, 2026.