MR. EDGAR ESTEBAN PORTILLO FNP-BC NPI 1467690701

NPI Information

MR. Edgar Esteban Portillo, FNP-BC is a family nurse practitioner in Tucson, AZ. MR. Edgar Esteban Portillo, FNP-BC NPI is 1467690701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1310 W SAINT MARYS RD
TUCSON, AZ
ZIP 85745-170
Phone: (520) 622-1366
Fax: (520) 622-1384

The NPI 1467690701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/24/2009 and was last updated on 12/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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