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Contact Information

CRISTOBAL PORTUGAL
GOBERNADOR LUGO 9531
STE 4
TIJUANA, BAJA CALIFORNIA22044
 Phone: 664-200-2617
 Fax: 866-272-6924
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for CRISTOBAL PORTUGAL

NPI Number 1043745623
LBN Legal business name CRISTOBAL PORTUGAL
Authorized official CRISTOBAL PORTUGAL - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2017
Last updated 04/20/2017 - About 9 years ago
Identifiers
ZZ License # 2868480
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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