Daniel Saul Portillo

Primary specialty

Medical Microbiology PhysicianTaxonomy code 207ZM0300X

License

45D2182351 Issued in TX

Practice address

21 Cypress Blvd Ste 1155
Round Rock, TX 78665-1046

Phone

(512) 832-9145

NPI assigned

May 18, 2022

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prolab Incorporated

  • Clinical Medical Laboratory
  • Georgetown, TX
  • NPI 1992314306
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1154068419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BLUE RIDGE DR STE 101",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786263269",
            "telephone_number": "512-832-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 CYPRESS BLVD STE 1155",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786651046",
            "telephone_number": "512-832-9145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Goodyear Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183757",
            "country_code": "US",
            "telephone_number": "210-430-8078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "DANIEL",
        "middle_name": "SAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "TX",
            "license": "45D2182351",
            "primary": false
        },
        {
            "code": "207ZM0300X",
            "taxonomy_group": "",
            "desc": "Pathology, Medical Microbiology",
            "state": "TX",
            "license": "45D2182351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jan Manuel Andrade Poquiz, PHARMD
• Vijayrama Reddy Poreddy, MD
• Madelyn Portalatin, RBT
• Michael Porter, LMFT ASSOCIATE
• Rob Porter, PH.D.
• Cassy Portwood
• Positive Birth Community
• Positive Enlightenment, Inc
• Post Oak Autism Services LLC
• Edward William Pottmeyer, MD

• Medical Microbiology Physician in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Medical Microbiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.