National Provider Identifier Database

MARIANO PORTO JR, MD – NPI #1396032934
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

MARIANO PORTO JR, MD
9746 N 90TH PL STE 203
SCOTTSDALE, AZ85258-5085
Phone: 480-614-0707
Fax: 480-614-0353
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X

* Indicates primary specialty

NPI Profile & details for MARIANO PORTO JR

NPI Number 1396032934
Credentials MD
Entity Individual
Enumeration date 07/04/2011
Last updated 11/10/2025 - About 7 months ago
Sole proprietor1 Yes
Identifiers
  • AZ License #: 59064
  • IA License #: MD-53036
  • PA License #: MD485254
  • TX License #: Q4668
  • WI License #: 4338-320
  • WI Medicaid: 100366047
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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