Viviana Portillo is a Dentist in the ENGLEWOOD area. Viviana Portillo primary office location is at 370 GRAND AVE STE 200 and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1164152591 and the information was updated approximately 1 year ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: YES
Participates in PECOS: NO
License Number | State |
---|---|
DN27232 | FL |
Taxonomy | State | Primary? |
---|---|---|
Dentist - Taxonomy Code 122300000X | FL | Y |
Student - Taxonomy Code 390200000X | -- | N |