Meredith Portalatin, MD
Internal Medicine, Gastroenterology in Arecibo, PR. Individual provider (NPI-1).
NPI number1326239658
StatusActive
Last updated in NPPESFeb 23, 2019
Details
- NPI
- 1326239658
- Entity type
- Individual (NPI-1)
- Name
- Meredith Portalatin
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 1, 2007
- Last updated
- Feb 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RG0100X | Internal Medicine, Gastroenterology | ME 117372 | FL | Yes |
| 208M00000X | Hospitalist | MD.202377 | LA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207RG0100X | Internal Medicine, Gastroenterology | 18685 | PR | |
| 207RG0100X | Internal Medicine, Gastroenterology | 01072856A | IN |
Other names
- Meredith Portalatin Perez (Other Name)
Practice location
Carr. 129 Km. 8, San LuisHospital Pavia, Suite 104
Arecibo, PR 00613
Phone 787-650-7272 · Fax 787-650-7248
Mailing address
Po Box 235Bajadero, PR 00616-0235
Phone 787-509-2458 · Fax 787-650-7248
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