Portillo, Diana

Portillo, Diana is an sole proprietor health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Portillo, Diana can be contacted via phone (508) 852-1805.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Phone: (508) 852-1805
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X RN2340199 Massachusetts

Profile Details

NPI number 1629692470
LBN Legal business name Portillo, Diana
Credentials RN BSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 7th, 2020
Last updated Jun 7th, 2020 - about 4 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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