DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) – Internal Medicine Physician, NPI 1700204005

DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) is a healthcare provider. based in Lake wales, Florida. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. 18671 (PR). The NPI Number for DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) is 1700204005

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.)
NPI
1700204005
Phone
(863) 676-1433
Address
410 S 11th St
Enumeration Date
3 April 2014
Last Update Date
5 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3866760255
Graduation Year
2009 (17 years ago)
PAC ID
2466673124
Group Practice PAC ID
0345253860
Professional Enrollment ID
I20171010003525
Address ID
FL321175167DA301XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:12State licenses:2Digital endpointsOther names

2,491 HOSPITALIST in FL

Provider Addresses for DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.)

  • 410 S 11th St

    Lake Wales, FL 338534256

    Phone: (863) 676-1433

    Fax: (941) 676-9323

    Type: Location

  • 40100 Highway 27

    Davenport, FL 338375906

    Phone: (863) 422-4971

    Fax: (863) 419-2264

    Type: Location

  • Hh7 Calle Pinto

    Mansiones de Carolina

    Carolina, PR 009878114

    Phone: (787) 379-2315

    Type: Location

  • 200 CORPORATE BLVD

    LAFAYETTE, LA 705083870

    Phone: (800) 893-9698

    Type: Mailing

  • 1630 MASON AVE STE C

    DAYTONA BEACH, FL 321174503

    Phone: (386) 238-9064

    Fax: (386) 238-9063

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $285.

Total Amount is formed as General ($285) + Research ($0) + Ownership ($0) = $285.

Last reported payment date: 2024-03-16 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($120).

Total Amount

$285

General + Research + Ownership

Payments

4

Total payment records

General Amount

$285

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-16

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-10-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171010003525IHospitalistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes2,498584$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes492249$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes484423$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes430141$0
99497Advance care planning, first 30 minutes296250$0
View full utilization report →

Insurance plans in this area (ZIP 33853)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345253860View full group profile
NameSpecialtyState
Internal MedicineFL
Physician AssistantFL
Family PracticeFL
Internal MedicineFL
Internal MedicineFL
-FL
Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.)?
The federal identifier for DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) is NPI 1700204005.
Is DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.)'s NPI currently valid?
The extract we use shows DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) as active.
What field does DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) work in?
You can think of DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.) as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.)?
The snapshot lists Lake Wales, Florida for DR. ANTONIO MANUEL JR. PORTILLA-CINTRON (M.D.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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