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

DR. HUMBERTO S. PORTILLO, M.D.

Active Sole Proprietor

DR. HUMBERTO S. PORTILLO, M.D. is a Specialist healthcare provider located in JACKSON HEIGHTS, New York. NPI 1407964828 is currently active in the NPPES registry. Verify at CMS.

Specialist · JACKSON HEIGHTS, NY

Registration Details

NPI Number: 1407964828
Provider Type: Individual
Gender: Male
NPI Issued: Aug 26, 2006 (19.942742783357 yrs)
Last Updated: Nov 14, 2012
License: 116009 (NY)
Sole Proprietor: Yes

Practice Information

Address: 7910 34TH AVE

1D

JACKSON HEIGHTS, NY, 113722437
Browse NY providers · Browse ZIP 11372
Phone: 7184242029
Fax: 7184290913
Primary Specialty: Specialist
174400000X

Other Specialist Providers in JACKSON HEIGHTS, NY

Name	Credential	NPI
DR. RAMON VALLARINO JR.	MD	1417936733
ROKEYA HABIB	M.D.	1861456717
DR. ISRAEL ANGEL AVILES SANCHEZ	M.D.	1801800263
DR. MAYRA S MAHADIN	M.D.	1972511160
MR. ON LAM	O.D.	1598819351
ADEL GEORGE AYYAD	DPT	1740599505

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.