Doctor Name: | DR. CRISTINA CASTELLANOS PORTELA |
NPI Number: | 1124188982 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 14616 |
Business Practice Address: | Ave Munoz Rivera A1 Sala De Emergencia Caguas, PR - 00726 |
Business Phone Number: | 7877043434 |
Business Fax Number: | |
Mailing Address: | 277 Via Vereda, Valle San Luis CAGUAS |
State: | PR |
Postal Code: | 00725 |
Phone Number: | 7879221028 |
Fax Number: | |
NPI Enumeration Date: | 12/11/2006 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 14616 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |