Diana Marie Portillo (NPI# 1194049841, PAC ID# 3274666235) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1194049841 |
| PAC ID by PECOS | 3274666235 |
| Professional Enrollment ID | I20100728000854 |
| Full Name | Diana Marie Portillo |
| Organization Legal Name | LA CLINICA DE FAMILIA, INC. |
| Address |
105 W Griggs Ave Lcdf Act Program Las Cruces NM 88001-1235 |
| Phone Number | 5755240767 |
| Gender | F |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6305745191 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310045 | ENGLEWOOD HOSPITAL AND MEDICAL CENTER |
| 320018 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 105 W Griggs Ave, Lcdf Act Program, Las Cruces, NM 88001-1235 | 5755240767 | LA CLINICA DE FAMILIA, INC. |
| 575 S Alameda Blvd, Las Cruces, NM 88005-2818 | 5755286400 | LA CLINICA DE FAMILIA, INC. |
| Organization Legal Name | LA CLINICA DE FAMILIA, INC. |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chanelle Rae Stoltenberg | Clinical Social Worker | La Clinica De Familia, Inc. | 100 W Griggs Ave, Lcdf Mental Health Ctr, Las Cruces, NM 88001-1234 |
| Malathi Pilla | Psychiatry | La Clinica De Familia, Inc. | 105 W Griggs Ave, Lcdf Act Program, Las Cruces, NM 88001-1235 |
| Monica Moya | Family Practice | La Clinica De Familia, Inc. | 575 S Alameda Blvd, Las Cruces, NM 88005-2818 |
| Keri A Hobert | Family Practice | La Clinica De Familia, Inc. | 880 Anthony Dr, Anthony, NM 88021-9346 |
| Bertha L Martinez | Nurse Practitioner | La Clinica De Familia, Inc. | 118 S Main St, Las Cruces, NM 88001-1266 |
| Virginia D Burnett | Obstetrics/gynecology | La Clinica De Familia, Inc. | 118 S Main St, Las Cruces, NM 88001-1266 |
| Ghirmay Haile Ghebreslasse | Nurse Practitioner | La Clinica De Familia, Inc. | 100 W Griggs Ave, Lcdf Mental Health Ctr, Las Cruces, NM 88001-1234 |
| Steven Lopez | Obstetrics/gynecology | La Clinica De Familia, Inc. | 118 S Main St, Las Cruces, NM 88001-1266 |
| Rachel Saavedra | Nurse Practitioner | La Clinica De Familia, Inc. | 118 S Main St, Las Cruces, NM 88001-1266 |
| Amanda Curry | Clinical Social Worker | La Clinica De Familia, Inc. | 100 W Griggs Ave, Lcdf Mental Health Ctr, Las Cruces, NM 88001-1234 |
| Street Address |
105 W GRIGGS AVE LCDF ACT PROGRAM |
| City | LAS CRUCES |
| State | NM |
| Zip | 88001-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malathi Pilla | Psychiatry | La Clinica De Familia, Inc. | 105 W Griggs Ave, Lcdf Act Program, Las Cruces, NM 88001-1235 |
| Michelle Aragon | Nurse Practitioner | La Clinica De Familia, Inc. | 105 W Griggs Ave, Lcdf Act Program, Las Cruces, NM 88001-1235 |
| Brenda G Alderete-aragon | Nurse Practitioner | La Clinica De Familia, Inc. | 105 W Griggs Ave, Lcdf Act Program, Las Cruces, NM 88001-1235 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Michelle Livingston | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Gina M Fullbright | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr H, Womens Medical Associates, Las Cruces, NM 88001-0601 |
| Paul C Magarelli | Endocrinology | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr, Suite H Womens Medical Associates, Las Cruces, NM 88001-0601 |
| Frank T Felts | General Surgery | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Angelina Np Morales | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Justin Boland | Psychologist, Clinical | Las Cruces Physician Practices, LLC | 2100 S Triviz Dr F, Las Cruces, NM 88001-0601 |
| Rodger V Lewis | Optometry | 709 N Main St, Las Cruces, NM 88001-1119 | |
| Edward Wade Richardson | Chiropractic | 2151 N Main St, Las Cruces, NM 88001-1128 | |
| Antoinette Green | Nurse Practitioner | Las Cruces Physician Practices, LLC | 2611 N Main St, Las Cruces, NM 88001-1139 |
| Mai Oushy | Family Medicine | Las Cruces Physician Practices, LLC | 2611 N Main St, Las Cruces, NM 88001-1139 |
| Find all physicians in zip 88001 | |||
| City | LAS CRUCES |
| Zip Code | 88001 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | LAS CRUCES + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.