DR. Myriam Portilla, MD

NPI #1619006053 in Trujillo Alto, Puerto Rico

Provider Information

NPI Number: 1619006053
Entity Type: Individual
Name: DR. Myriam Portilla, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Mar 3, 2007
Last Updated: Jun 3, 2014

Practice Location

Address: BG1 VIA DEL BOSQUE
Address 2: BOSQUE DEL LAGO ENCANTADA
City: Trujillo Alto
State: Puerto Rico
ZIP Code: 00976-6058
Phone: (787) 340-1717

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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