Salvador C. Portugal MD, Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

13580 Issued in WV

Legal business name

SALVADOR C. PORTUGAL MD, INC.

Practice address

400 Division St
Suite 9
South Charleston, WV 25309-1459

Phone

(304) 766-3482

NPI assigned

Mar 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Salvador C Portugal, M.DNPI 1184682171

Title

President

Phone

(304) 766-3482

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Salvador C. Portugal, M.D.

  • Otolaryngology Physician
  • South Charleston, WV
  • NPI 1184682171
  Authorized official Same address or phone

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

{
    "created_epoch": "1174694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639296577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9288",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253090288",
            "telephone_number": "304-766-3482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 DIVISION ST",
            "address_2": "SUITE 9",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091459",
            "telephone_number": "304-766-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVADOR C. PORTUGAL MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PORTUGAL",
        "authorized_official_first_name": "SALVADOR",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-766-3482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "13580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Otolaryngology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.