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ERNESTO RAFAEL PORTILLO DIAZ MD
NPI 1700479078
Student in an Organized Health Care Education/Training Program in Perth Amboy, NJ

Active since February 17, 2021
530 NEW BRUNSWICK AVE, PERTH AMBOY, NJ 08861(732) 324-5080(732) 324-4669 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Ernesto Rafael Portillo Diaz Md NPPES

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

ERNESTO RAFAEL PORTILLO DIAZ MD (NPI 1700479078) is an individual student in an organized health care education/training program in Perth Amboy, New Jersey and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1700479078
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameERNESTO RAFAEL PORTILLO DIAZCredential: MD
Location Address530 NEW BRUNSWICK AVEPerth Amboy, NJ 08861-3654
Mailing Address530 New Brunswick AvePerth Amboy, NJ 08861-3654 · (732) 324-5080 · Fax (732) 324-4669
Phone(732) 324-5080
Fax(732) 324-4669
Sole ProprietorNo
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1700479078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
530 NEW BRUNSWICK AVE, Perth Amboy, NJ 08861
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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.

DR. PARUL PRAVINCHANDRA LAKHLANI M.D.
Anesthesiology
530 NEW BRUNSWICK AVE, DIVISION OF ANESTHESIOLOGY, RARITAN BAY MEDICAL CENTER
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
CARDIOLOGY PROFESSIONAL SERVICES AT RARITAN BAY INC
Internal Medicine (Cardiovascular Disease)
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5167
MS. LORRAINE LILLIAN SAUNDERS PA-C
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5104
DR. MAHESH H BHAGAT MD
Internal Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
RESHMA ATUL SAKARIA PA
Physician Assistant
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5075
DR. LESLIE POOSER OSEI-TUTU MD
Anesthesiology
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5075
ASFANDYAR IBRAR MD
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5080
MICHELLE ABRAMOVA DO
Student in an Organized Health Care Education/Training Program
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ernesto Portillo Diaz's NPI number?

The NPI number for Ernesto Portillo Diaz is 1700479078. It was assigned to this individual provider in the NPPES registry on February 17, 2021.

Where is Ernesto Portillo Diaz located?

Ernesto Portillo Diaz practices at 530 New Brunswick Ave, Perth Amboy, NJ 08861. The listed phone number is (732) 324-5080.

What is Ernesto Portillo Diaz's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ernesto Portillo Diaz was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.