Dr. Diego Porras Ingouville, MD
Internal Medicine, Interventional Cardiology in Boston, MA. Individual provider (NPI-1).
NPI number1023045127
StatusActive
Last updated in NPPESOct 6, 2020
Details
- NPI
- 1023045127
- Entity type
- Individual (NPI-1)
- Name
- Dr. Diego Porras Ingouville
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 26, 2006
- Certification date
- Oct 6, 2020
- Last updated
- Oct 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RI0011X | Internal Medicine, Interventional Cardiology | 241562 | MA | Yes |
| 2080P0202X | Pediatrics, Pediatric Cardiology | 241562 | MA |
Practice location
300 Longwood AveBoston, MA 02115
Phone 617-355-6000
Mailing address
300 Longwood AveBoston, MA 02115
Phone 617-355-6000
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