DR. SHELLSEA PORTILLO CANALES


Address: 4222 3rd Ave, Bronx, NY 10457-4502
Phone: 7189609000

DR. SHELLSEA PORTILLO CANALES (NPI# 1023629748) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1023629748
Entity Type Individual
Full Name DR. SHELLSEA PORTILLO CANALES
Credential MD
Practice Address 4222 3rd Ave
Bronx
NY 10457-4502
Mailing Address 2505 Lorillard Pl Apt 4a
Bronx
NY 10458-5934
Practice Telephone 7189609000
Mailing Telephone 9295233782
Enumeration Date 2020-08-14
Last Update Date 2020-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4222 3RD AVE
City BRONX
State NY
Zip Code 10457-4502

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346851722 Aruna Muthumanickam Student in an Organized Health Care Education/Training Program 1650 Grand Concourse, The Bronx, New York City, NY 10457 2020-08-11
1013527753 Cherine Awad Student in an Organized Health Care Education/Training Program 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 2020-08-07
1023626926 Tolulope Oyinlola Olorunsogo Student in an Organized Health Care Education/Training Program 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 2020-07-16
1750999801 Kalyan C Chilukuri Student in an Organized Health Care Education/Training Program Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 2020-07-15
1003434457 Nauri Estefani Abreu Roa Student in an Organized Health Care Education/Training Program Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 2020-07-13
1033737630 Sapna Sharma Student in an Organized Health Care Education/Training Program St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 2020-07-09
1194341081 Asha Tadepalli Optometrist 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 2020-06-17
1578196549 Ernesto Murray Technician 463 East 178st Apt#3b, Bronx New York, NY 10457 2020-02-19
1245891001 Muhammad Shahzad Student in an Organized Health Care Education/Training Program St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 2019-06-24
1144886565 Grant Joseph Gleason Student in an Organized Health Care Education/Training Program 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 2019-05-10
Find all providers in zip 10457

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477151041 Islam Moheisen Student in an Organized Health Care Education/Training Program 1400 Pelham Pkwy S Rm 6s11, Bronx, NY 10461-1197 2020-10-15
1942814710 Wai Bun Liew Student in an Organized Health Care Education/Training Program 234 E 149th St Ste 2a8, Bronx, NY 10451-5504 2020-08-31
1013520444 Aireni A Sterling Lachapel Student in an Organized Health Care Education/Training Program 3212 Decatur Ave Apt 3a, Bronx, NY 10467-4223 2020-08-25
1013527753 Cherine Awad Student in an Organized Health Care Education/Training Program 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 2020-08-07
1962012161 Yinelka Grisel Silverio De Castro Student in an Organized Health Care Education/Training Program 234 E 149th St Dept Internal, Bronx, NY 10451-5504 2020-08-03
1164031316 Patrick Michael Biskupski Student in an Organized Health Care Education/Training Program 234 E 149th St Fl 8, Bronx, NY 10451-5504 2020-07-23
1023626926 Tolulope Oyinlola Olorunsogo Student in an Organized Health Care Education/Training Program 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 2020-07-16
1598373615 Sharan Mirchandani Student in an Organized Health Care Education/Training Program 4422 3rd Ave Bldg 4th, Bronx, NY 10457-2545 2020-07-15
1750999801 Kalyan C Chilukuri Student in an Organized Health Care Education/Training Program Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 2020-07-15
1003434457 Nauri Estefani Abreu Roa Student in an Organized Health Care Education/Training Program Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 2020-07-13
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10457

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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