MANUEL SALVADOR PORTILLO (NPI# 1386245652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386245652 |
| Entity Type | Individual |
| Full Name | MANUEL SALVADOR PORTILLO |
| Credential | APRN |
| Practice Address |
4383 Foxtail Ln Weston FL 33331-3842 |
| Practice Telephone | 9543388661 |
| Mailing Telephone | 9543388661 |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F10201183 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4383 FOXTAIL LN |
| City | WESTON |
| State | FL |
| Zip Code | 33331-3842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427679836 | Health Diagnostics of Fort Lauderdale, LLC | Radiology | 16604 Sheridan Street, Pembroke Pines, FL 33331 | 2020-04-27 |
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1275015505 | B & B Monitoring LLC | Emergency Response System Companies | 4474 Weston Road, Suite 3, Ft Lauderdale, FL 33331 | 2018-09-04 |
| 1609367747 | Gerardo Minsal, Md Pa | Internal Medicine | 16720 Sapphire Springs, Weston, FL 33331 | 2018-05-24 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1942709902 | John Kross Pharmacy #2, Inc | Pharmacy | 16618 Sheridan St, Fort Lauderdale, FL 33331 | 2018-02-06 |
| 1922512342 | Luisa Fernanda Quevedo | Occupational Therapy Assistant | 4350 Mahogany Ridge Dr, Weston, FL 33331 | 2017-11-21 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1255720843 | Horse and Petting Pal Interaction, Inc. | Counselor | 17800 Sw 52 Ct, Southwest Ranches, FL 33331 | 2015-01-20 |
| Find all providers in zip 33331 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756709 | Daniella Lupis | Nurse Practitioner | 792 Verona Lake Dr, Weston, FL 33326-3537 | 2020-09-29 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1083245237 | Andrea Dotti | Nurse Practitioner | 1278 Canary Island Dr, Weston, FL 33327-2346 | 2020-01-27 |
| 1306489661 | Reynaldo Leyva Infante | Nurse Practitioner | 437 Lakeview Dr Apt 102, Weston, FL 33326-2449 | 2019-10-18 |
| 1033771167 | Anne Elizabeth Crockett | Nurse Practitioner | 1850 Lakeshore Dr, Weston, FL 33326-2349 | 2019-06-28 |
| 1457828030 | Tamara Ines Estevez | Nurse Practitioner | 201 Racquet Club Rd # 5523, Weston, FL 33326-3100 | 2018-10-31 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1427556604 | Florence Dauphin Philippe | Nurse Practitioner | 2649 Edgewater Dr, Weston, FL 33332-3400 | 2018-01-23 |
| 1124573217 | Ramon Perez | Nurse Practitioner | 1947 Harbor View Cir, Weston, FL 33327-1342 | 2016-08-18 |
| 1952855686 | Rachel Ann Clemens | Nurse Practitioner | 149 Staunton Dr, Weston, WV 26452-5604 | 2016-08-10 |
| Find all providers in WESTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.