Portal, Jose M.

Portal, Jose M. is an individual health care provider with primary practice located at 5251 John Tyler Hwy Suite 7, Williamsburg VA 23185-2553. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Portal, Jose M. can be contacted via phone (757) 229-8660.

Contact Information

Primary practice address
5251 John Tyler Hwy Suite 7 Williamsburg VA 23185-2553
Phone: (757) 229-8660
Fax: (757) 258-8845
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101230626 Virginia

Profile Details

NPI number 1932179538
LBN Legal business name Portal, Jose M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated Jan 15th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932179538 NPPES
Virginia MEDICAID 1932179538

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