IndividualActive
Daniel Portillo
NPI 1154068419 · Medical Microbiology Physician · Round Rock, TX
Provider details
- NPI number
- 1154068419
- Entity type
- Individual
- Primary specialty
- Medical Microbiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 45D2182351 (TX)
Practice location
21 Cypress Blvd Ste 1155
Round Rock, TX 78665-1046
Phone: (512) 832-9145
Mailing address
1301 Blue Ridge Dr Ste 101
Georgetown, TX 78626-3269
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2025-06-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.