Portillo, Humberto S.

Portillo, Humberto S. is an sole proprietor health care provider with primary practice located at 7910 34Th Ave 1D, Jackson Heights NY 11372-2437. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Portillo, Humberto S. can be contacted via phone (718) 424-2029.

Contact Information

Primary practice address
7910 34Th Ave 1D Jackson Heights NY 11372-2437
Phone: (718) 424-2029
Fax: (718) 429-0913
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 116009 New York

Profile Details

NPI number 1407964828
LBN Legal business name Portillo, Humberto S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 26th, 2006
Last updated Nov 14th, 2012 - about 12 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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