Portocarrero, Miguel

Portocarrero, Miguel is an individual health care provider with primary practice located at 1101 N Central Ave , Kissimmee FL 34741-4405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Portocarrero, Miguel can be contacted via phone (407) 933-2210.

Contact Information

Primary practice address
1101 N Central Ave Kissimmee FL 34741-4405
Phone: (407) 933-2210
Fax: (407) 933-6428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME100657 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME100657 Florida

Profile Details

NPI number 1437284049
LBN Legal business name Portocarrero, Miguel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Nov 7th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437284049 NPPES
Florida MEDICAID 000204400
Florida Other 59-1561574

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