Active NPI
Wilver Portillo
- Student in an Organized Health Care Education/Training Program
- Baltimore, MD
National Provider Identifier
1881590479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 4701 N Charles St
Baltimore, MD 21210-2404 - Phone
- (410) 435-0100
- NPI assigned
- Oct 19, 2026
- Last updated
- Oct 19, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
4701 N Charles St
Baltimore, MD 21210-2404
Mailing address
7521 River Reach Rd
Windsor Mill, MD 21244-1693
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1792368000000",
"number": "1881590479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7521 RIVER REACH RD",
"city": "WINDSOR MILL",
"state": "MD",
"postal_code": "212441693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102404",
"telephone_number": "410-435-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLO",
"first_name": "WILVER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-10-19",
"last_updated": "2026-10-19",
"certification_date": "2026-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.