Organization Active NPI

Carlos Portu MD PLLC

  • Internal Medicine Physician
  • Naples, FL
National Provider Identifier
1184119810
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME103947 Issued in FL
Legal business name
CARLOS PORTU MD PLLC
Practice address
950 Manatee Rd
Naples, FL 34114-8219
Phone
(239) 235-7908
NPI assigned
Jun 26, 2018
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Carlos Portu, MDNPI 1275735367
Title
Owner
Phone
(954) 993-3922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME103947 FL Primary

Addresses

Primary practice location

950 Manatee Rd
Naples, FL 34114-8219

Mailing address

950 Manatee Rd
Naples, FL 34114-8219
Phone (239) 235-7908

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180816003227 FL Part B Supplier - Clinic/Group Practice 8729337274 Receives reassigned benefits from 5 practitioners
Practice locations: Naples, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2151738Carlos Portu MD PLLC Dba Shoreline950 Manatee Rd, Naples, FL 34114ComplianceJul 6, 2026

National Provider Directory

National Provider Directory

Locations

12250 Tamiami Trl E
Ste 208
Naples, FL 34113
Phone (239) 235-7908

950 Manatee Rd
Naples, FL 34114
Phone (239) 235-7908

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1529971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1184119810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MANATEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148219",
            "telephone_number": "239-235-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MANATEE RD",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341148219",
            "telephone_number": "239-235-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS PORTU MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-26",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "PORTU",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "954-993-3922",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME103947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.