GEORGE A PORTILLA MD
NPI 1245287010
Surgery in Detroit Lakes, MN

Q: What is George Portilla's NPI number?

The NPI number for George Portilla is 1245287010. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Q: What is George Portilla's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for George Portilla was last updated on November 21, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2006

1027 WASHINGTON AVE, DETROIT LAKES, MN 56501(218) 847-5611(218) 847-0881 Get Directions Write a Review

NPPES record last updated: November 21, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About George A Portilla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GEORGE A PORTILLA MD (NPI 1245287010) is an individual surgery provider in Detroit Lakes, Minnesota, licensed in Minnesota (27750) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1245287010

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameGEORGE A PORTILLACredential: MD

Location Address1027 WASHINGTON AVEDetroit Lakes, MN 56501-3409

Mailing Address1027 Washington AveDetroit Lakes, MN 56501-3409 · (218) 847-5611 · Fax (218) 847-0881

Phone(218) 847-5611

Fax(218) 847-0881

Sole ProprietorNo

Enumeration DateMay 27, 2006

Last NPPES UpdateNovember 21, 2011

✔ NPI 1245287010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in MN · 27750

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1027 WASHINGTON AVE, Detroit Lakes, MN 56501

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Other Identifiers 15

Other2611MN · Ndbs #

Other16691B1MN · Mnbs #

OtherHP25820MN · Healthpartners #

Other16691POMN · Mnbs #

Other1700491MN · Medica #

Medicare ID-Type Unspecified080041908MN · Rr Medicare #

Other1669B2MN · Mnbs #

Other142047MN · Ucare #

Medicare ID-Type Unspecified029000701MN · Mn Medicare #

Medicaid036267100MN

Other572128MN · America's Ppo/araz #

OtherDA9031015667MN · Preferred One #

Medicaid13280MN

Medicare UPIND48890MN

OtherMN200018MN · Lhs/bannerhealth #

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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