DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BERTA ALICIA PORTILLO

Active Sole Proprietor

BERTA ALICIA PORTILLO is a Massage Therapist healthcare provider located in SOCORRO, New Mexico. NPI 1376892190 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SOCORRO, NM

Registration Details

NPI Number
1376892190
Provider Type
Individual
Gender
Female
NPI Issued
Sep 7, 2012 (13.936593968338 yrs)
Last Updated
Sep 13, 2012
License
7410 (NM)
Sole Proprietor
Yes

Practice Information

Address
313 HILLTOP
SOCORRO, NM, 87801
Browse NM providers · Browse ZIP 87801
Phone
5054338361
Primary Specialty
Massage Therapist
225700000X

Other Massage Therapist Providers in SOCORRO, NM

Name Credential NPI
MARY MILES LMT 1265586622
MISTY M ROMERO LMT 1518689058
HOLLY A HOBAUGH LMT 1780481432
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.