BERTA ALICIA PORTILLO (NPI# 1376892190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376892190 |
| Entity Type | Individual |
| Full Name | BERTA ALICIA PORTILLO |
| Other Name | BERTA ALICIA PORTILLO ACOSTA |
| Practice Address |
313 Hilltop Socorro NM 87801 |
| Mailing Address |
313 Hilltop St Socorro NM 87801-4123 |
| Practice Telephone | 5054338361 |
| Mailing Telephone | 5054338361 |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7410 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
313 HILLTOP |
| City | SOCORRO |
| State | NM |
| Zip Code | 87801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763059 | Kyra J Saavedra | Physical Therapist | 1200 Michigan St. Socorro High School, Socorro, NM 87801 | 2020-09-01 |
| 1982255634 | Cornerstone Christian Counseling | Community/Behavioral Health | 1894 Chaparal Loop, Socorro, NM 87801 | 2019-09-24 |
| 1093282022 | Lindsay Alice Mclaughlin | Nurse Practitioner | 1204 Us-60, Building D, Socorro, NM 87801 | 2018-10-29 |
| 1003274309 | Fresenius Medical Care Sandhill, LLC | Clinic/Center | 1306 Enterprise Rd., Socorro, NM 87801 | 2016-02-02 |
| 1114391273 | Jessica Braswell I | Counselor | 1200 Us-60, Soorro, NM 87801 | 2015-11-30 |
| 1700207537 | Megan Therese Weber | Specialist/Technologist | 1115 N California St., Socorro, NM 87801 | 2013-12-20 |
| 1215284146 | Presbyterian Medical Services | Clinic/Center | 1200 Michigan Street, Socorro, NM 87801 | 2012-08-09 |
| 1164541272 | Caring Dental Center PC | Dentist | 824 Highway 60, Socorro, NM 87801 | 2007-03-28 |
| 1578604039 | Jose Delfin Herrera Jr. | Occupational Therapy Assistant | 1115 N California Street, Socorro, NM 87801 | 2007-02-09 |
| 1104981505 | Body Wise Therapy Services LLC | Clinic/Center | 832 Highway 60, Socorro, NM 87801 | 2006-12-26 |
| Find all providers in zip 87801 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265586622 | Mary Miles | Massage Therapist | 722 N California St, Suite # 7, Socorro, NM 87801-5221 | 2007-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750981973 | Sara Drake Harsh | Massage Therapist | 2074 Galisteo St Ste A5, Santa Fe, NM 87505-2104 | 2020-10-27 |
| 1205434677 | Jessica Arbour | Massage Therapist | 78 Ute Valley Road, Questa, NM 87556-8755 | 2020-10-16 |
| 1003423872 | Laura Jolly | Massage Therapist | 1963 Kiva Rd, Santa Fe, NM 87505-3314 | 2020-09-25 |
| 1609492479 | Michele Higgins | Massage Therapist | 107 Plaza Garcia Ste B, Taos, NM 87571-6256 | 2020-06-17 |
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
| 1912532292 | Bertha Ponce | Massage Therapist | 1229 S Saint Francis Dr Ste A, Santa Fe, NM 87505-4052 | 2020-03-07 |
| 1710510458 | Ellen Annette Santistevan-salazar | Massage Therapist | 1410 Sunset Rd Se, Rio Rancho, NM 87124-2629 | 2020-02-21 |
| 1811528342 | James Harold Dyer Jr. | Massage Therapist | 18648 C Private Dr, Espanola, NM 87532-8753 | 2020-02-03 |
| 1780223149 | Jaclynn Arden | Massage Therapist | 4011 Barbara Loop Se Ste 104a, Rio Rancho, NM 87124-1040 | 2020-01-03 |
| Find all providers with the same taxonomy | ||||
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| 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.