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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: July 19, 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


The following 20 providers are registered at the same or a nearby location.

DR. MAHESH H BHAGAT MD
Internal Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. PETER F CHENG MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. SAMPSON M DAVIS MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. DUANE J DYSON MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. LEE LEAK JR. MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. GUILLERMO GUTIERREZ MD
Surgery
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-6031
DR. BERNARDO A POCO MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. KORRAPATI S REDDY MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. ALLEN S RETIRADO MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. ZHIMIN WANG MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
RARITAN BAY MEDICAL CENTER
General Acute Care Hospital
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
DR. CHINTANA SANG-URAI MD
Emergency Medicine
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
KALPANA NANDIWADA MD
Anesthesiology
530 NEW BRUNSWICK AVE, RARITAN BAY MEDICAL CTR
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
KALPANA S DALAL MD
Anesthesiology
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
EDUARDO S OLEGARIO MD
Anesthesiology
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
OON S KIM MD
Anesthesiology
530 NEW BRUNSWICK AVE, RARITAN BAY MEDICAL CTR
PERTH AMBOY, NJ 08861
Middlesex County (732) 442-3700
MAXIMO GABUCAN
Surgery
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5348
AJIT DESAI
Surgery
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5348
DR. PATRICK MONTEFUSCO MD
Specialist
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5348
DR. SIDNEY KRESS M.D.
Specialist
530 NEW BRUNSWICK AVE
PERTH AMBOY, NJ 08861
Middlesex County (732) 324-5348

Frequently Asked Questions

What is Ernesto Portillo Diaz's NPI number?

The NPI number assigned to this healthcare provider is 1700479078, enumerated as an "individual" on February 17, 2021.

Where is the provider located?

The provider is located at 530 NEW BRUNSWICK AVE PERTH AMBOY, NJ 08861 and the phone number is (732) 324-5080.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.