MEDICARE: STEVEN A ARGUETA-PORTILLO

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	2255A2300X	Athletic Trainer	A0001585	MD

General Provider Information

NPI Number	:	1750795688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN A ARGUETA-PORTILLO

Provider Business Mailing Address
First Line	:	504 E RIDGEVILLE BLVD STE 107
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5942
Country	:	US
Telephone Number	:	301-829-6811
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 E RIDGEVILLE BLVD STE 107
Second Line	:
City	:	MOUNT AIRY
State	:	MD
Zip	:	21771-5942
Country	:	US
Telephone Number	:	301-829-6811
Fax Number	:

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

Provider Enumeration Date	:	06/18/2014
Last Update Date	:	06/28/2024

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Directions to “ STEVEN A ARGUETA-PORTILLO ” Practice Location

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