Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mario Jose Portocarrero, MD

Individual provider Pediatrics Physician · NPI 1235208679

Mario Jose Portocarrero, MD is a Pediatrics Physician in Houston, Texas. Licensed in Indiana and Texas. Registered with an NPI since 2006.

Licensed in
IN, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6550 Mapleridge St Ste 101 AC
Houston, TX 77081-4600
Phone: (713) 774-1401
Fax: (713) 774-1467
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence J9277 (TX)
Pediatrics Physician Taxonomy 208000000X · Licence 01043128A (IN)

Record details

NPI number1235208679
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 8, 2006
Last updated in NPPESJuly 31, 2013

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