Portalatin, Meredith

Portalatin, Meredith is an individual health care provider with primary practice located at Carr. 129 Km. 8, San Luis Hospital Pavia, Suite 104, Arecibo PR 00613. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is her primary health care specialty. Portalatin, Meredith can be contacted via phone (787) 650-7272.

Contact Information

Primary practice address
Carr. 129 Km. 8, San Luis Hospital Pavia, Suite 104 Arecibo PR 00613
Phone: (787) 650-7272
Fax: (787) 650-7248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.202377 Louisiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME 117372 Florida
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 18685 Puerto Rico
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 01072856A Indiana

Profile Details

NPI number 1326239658
LBN Legal business name Portalatin, Meredith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2007
Last updated Feb 23rd, 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 1326239658 NPPES
Louisiana MEDICAID 1077747
Louisiana MEDICAID 04330810

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