Manuel Salvador Portillo Barrera, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11010371 Issued in FL

Practice address

1950 W Hillsboro Blvd Ste 103
Deerfield Beach, FL 33442-1423

Phone

(954) 408-8960

Fax

(954) 408-8961

NPI assigned

Nov 4, 2020

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medflorida Specialists, LLCGroup PAC ID 0941572564, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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

• Medflorida Specialists, LLC

  • Rheumatology Physician
  • Jupiter, FL
  • NPI 1346603412
  Medicare reassignment Care Compare group NPD
• Medical Consultants of Florida, LLC

  dba MedFlorida Medical Center

  • Internal Medicine Physician
  • Deerfield Beach, FL
  • NPI 1619169810
  Medicare reassignment NPD
• Xpress Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Port St Lucie, FL
  • NPI 1841566395
  Medicare reassignment NPD
• Xpress Urgent Care, LLC.

  • Urgent Care Clinic/Center
  • Deerfield Beach, FL
  • NPI 1922771617
  NPD
• Medical Consultants of Florida LLC

  dba MedFlorida Medical Centers

  • Non-Pharmacy Dispensing Site
  • Deerfield Beach, FL
  • NPI 1750956298
  NPD (past)

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

{
    "created_epoch": "1604448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1386245652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4383 FOXTAIL LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313842",
            "telephone_number": "954-338-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 W HILLSBORO BLVD STE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421423",
            "telephone_number": "954-408-8960",
            "fax_number": "954-408-8961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4477 Medical Center Way Ste A",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334073257",
            "country_code": "US",
            "telephone_number": "561-781-8060",
            "fax_number": "561-781-8099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3387 S Jog Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greenacres",
            "state": "FL",
            "postal_code": "334672010",
            "country_code": "US",
            "telephone_number": "561-781-8080",
            "fax_number": "561-781-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7229 W Oakland Park Blvd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lauderhill",
            "state": "FL",
            "postal_code": "333131004",
            "country_code": "US",
            "telephone_number": "954-824-2615",
            "fax_number": "754-667-4006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21110 Biscayne Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Aventura",
            "state": "FL",
            "postal_code": "331801251",
            "country_code": "US",
            "telephone_number": "305-948-9595",
            "fax_number": "305-948-9292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTILLO BARRERA",
        "first_name": "MANUEL",
        "middle_name": "SALVADOR",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-04",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10201183",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11010371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meagan Popp
• Pops Neighborhood Pharmacy, LLC
• Sylvia Porchia
• Alexsandra Portela Lima, APRN
• Marie I Portfolio, COTA
• Dana Biddle Portnoy, ARNP
• Talia Anne Max Porto, RN,BSN
• Positive Path of Deerfield Beach
• Whitney Amanda Potts
• Kristina Poudrier

• Family Nurse Practitioner in Deerfield Beach, FL
• Providers in Deerfield Beach, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.