MARTIN A PORTILLO

GAITHERSBURG, MD
NPI1134292493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MD  D0042033)
Additional Taxonomies207R00000X Internal Medicine
(Licence: DC  MD19316)
Enumeration Date2006-11-16
Last Update Date2011-11-14
Business Address
Dr. MARTIN A PORTILLO MD
501 NORTH FREDERICK AVENUE
GAITHERSBURG, MD 20877-2598
Phone number: 301-258-7265
Mailing Address
Dr. MARTIN A PORTILLO MD
2101 EAST JEFFERSON STREET PPQA MEDICARE COMPLIANCE UNIT 6 WEST ATTN THERESA BROOK
ROCKVILLE, MD 20852-4908
Phone number: 301-816-6660