MEDICARE: DR. FRANCISCO PORTILLO RAMOS D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	16870	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	793997	OTHER	TX	UNITED CONCORDIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	B167801	OTHER	TX	TEXAS CHIP DENTAL SERVICE

General Provider Information

NPI Number	:	1295805505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCISCO PORTILLO RAMOS D.D.S.

Provider Business Mailing Address
First Line	:	11230 WEST AVE STE 3205
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1389
Country	:	US
Telephone Number	:	210-524-9866
Fax Number	:

Provider Business Practice Location Address
First Line	:	11230 WEST AVE
Second Line	:	STE. 3205
City	:	SAN ANTONIO
State	:	TX
Zip	:	78213-1350
Country	:	US
Telephone Number	:	210-524-9866
Fax Number	:	210-497-2599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	09/19/2025

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Directions to “ DR. FRANCISCO PORTILLO RAMOS D.D.S.” Practice Location

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