Search › Missouri › 207RE0101X
Shellsea Portillo Canales, MD
NPI 1023629748 · on the registry since 2020 · sole proprietor
Practice
- Address
- Center For Specialized Medicine 1225 S Grand Blvd
Second Floor
Saint Louis, MO 63104 - Phone
- (314) 257-8000
Registry record
- Primary taxonomy
- 207RE0101X
207RE0101X
- Also registered as
- 207R00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri