Doctor Name: | JESUS ANTONIO CASTRO |
NPI Number: | 1134165814 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 6333 |
Business Practice Address: | 1 Calle Colon Corozal, PR - 007830870 |
Business Phone Number: | 7878591049 |
Business Fax Number: | 7878591049 |
Mailing Address: | 1 Calle Colon, COROZAL |
State: | PR |
Postal Code: | 007832049 |
Phone Number: | 7878591049 |
Fax Number: | 7878591287 |
NPI Enumeration Date: | 06/21/2006 |
NPI Last Update Date: | 09/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 6333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |