Doctor Name: | DR. MARCIAL CASTILLO |
NPI Number: | 1124170048 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 16712 |
Business Practice Address: | Hc 02 Box 8992 Juana Diaz, PR - 00795 |
Business Phone Number: | 7873153799 |
Business Fax Number: | 7878451193 |
Mailing Address: | Urb Hucares Calle # 3 Casa #6, Hc 02 Box 8992 JUANA DIAZ |
State: | PR |
Postal Code: | 00795 |
Phone Number: | 7873153799 |
Fax Number: | 7878451193 |
NPI Enumeration Date: | 01/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 16712 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |