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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

WILVER PORTILLO
NPI 1881590479
Student in an Organized Health Care Education/Training Program in Baltimore, MD

Active since October 19, 2026
4701 N CHARLES ST, BALTIMORE, MD 21210(410) 435-0100 Get Directions Write a Review

NPPES record added: October 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wilver Portillo NPPES

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

WILVER PORTILLO (NPI 1881590479) is an individual student in an organized health care education/training program in Baltimore, Maryland and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1881590479
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILVER PORTILLO
Location Address4701 N CHARLES STBaltimore, MD 21210-2404
Mailing Address7521 River Reach RdWindsor Mill, MD 21244-1693
Phone(410) 435-0100
Sole ProprietorNo
Enumeration DateOctober 19, 2026
NPPES CertifiedOctober 19, 2026
✔ NPI 1881590479 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.
4701 N CHARLES ST, Baltimore, MD 21210
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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.

SAMANTHA CHENOWETH-RILL PA-C
Physician Assistant
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 435-0100
HEATHER FOLZ
Pharmacist (Ambulatory Care)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (919) 819-2264
TIANA MARIE BYRD
Nurse Practitioner (Family)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 435-0100
DR. ASHLEY ELAINE MOODY PHARM.D.
Pharmacist
4701 N CHARLES ST, BUNTING HALL 132
BALTIMORE, MD 21210
Baltimore City (410) 532-5073
ANDREA GAULD PHARMD
Pharmacist (Ambulatory Care)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 532-5067
JOMARYS SOTO ROMAN
Registered Nurse (General Practice)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 435-0100
ELHAM HEDAYATPOUR BSN,RN, FNP-S
Registered Nurse (Critical Care Medicine)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (443) 722-0266
DR. VINCENT JAMES DICRISCIO PHD, ATC, CSCS
Specialist/Technologist (Athletic Trainer)
4701 N CHARLES ST
BALTIMORE, MD 21210
Baltimore City (410) 532-5385

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 Wilver Portillo's NPI number?

The NPI number for Wilver Portillo is 1881590479. It was assigned to this individual provider in the NPPES registry on October 19, 2026.

Where is Wilver Portillo located?

Wilver Portillo practices at 4701 N Charles St, Baltimore, MD 21210. The listed phone number is (410) 435-0100.

What is Wilver Portillo'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 Wilver Portillo was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.