Mario J. Portocarrero M.D., P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J9277 Issued in TX

Legal business name

MARIO J. PORTOCARRERO M.D., P.A.

Practice address

6550 Mapleridge St
Suite 101 Ac
Houston, TX 77081-4600

Phone

(713) 774-1401

Fax

(713) 774-1467

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mario Jose Portocarrero, M.D.NPI 1235208679

Title

President

Phone

(713) 774-1401

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mario Jose Portocarrero, M.D.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1235208679
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220745600000",
    "number": "1174558670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 101 AC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "713-774-1401",
            "fax_number": "713-774-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 MAPLERIDGE ST",
            "address_2": "SUITE 101 AC",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814600",
            "telephone_number": "713-774-1401",
            "fax_number": "713-774-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIO J. PORTOCARRERO M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2008-09-07",
        "status": "A",
        "authorized_official_last_name": "PORTOCARRERO",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "JOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-774-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121331603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121331604",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernard J Marino
• Hannah Matejowsky Marino, MD
• Karen Liliana Marino, DDS
• Angela Marinovic
• Mario F. Rubin, MD, PA
• Mario O. Kapusta, M.D., P.a.
• Marion J. Danna, D.C., P. a.
• Donald Marion
• Jelencia Jenae Marion, NP
• Jessica Renee Maris, CRNA

• Pediatrics Physician in Houston, TX
• Providers in Houston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2008; 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.