DANIEL SAUL PORTILLO NPI 1154068419

NPI Information

NPI: 1154068419
Provider Name: DANIEL SAUL PORTILLO
Classification: Pathology - 247ZC0005X
Entity Type: Individual

Specialization: Clinical Laboratory Director, Non-physician

Address:
21 CYPRESS BLVD STE 1155
ROUND ROCK, TX
ZIP 78665
Phone: (512) 832-9145
Get Directions

Daniel Saul Portillo is a clinical laboratory director and non-physician pathology in Round Rock, TX. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. Daniel Saul Portillo NPI is 1154068419. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21 CYPRESS BLVD STE 1155
ROUND ROCK, TX
ZIP 78665-046
Phone: (512) 832-9145

The enumeration date for this NPI number is 5/18/2022 and was last updated on 5/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZM0300X	Pathology	Medical Microbiology	45D2182351	TEXAS	No
2	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician	45D2182351	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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