| Doctor Name: | DR. JOSE E. CASTELLON MIRANDA |
| NPI Number: | 1194848309 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 12428 |
| Business Practice Address: | 61 Calle Comercio Yauco, PR - 006983541 |
| Business Phone Number: | 7878560844 |
| Business Fax Number: | 7872675554 |
| Mailing Address: | Urb. Jacaranda B-3, Calle Amarilys PONCE |
| State: | PR |
| Postal Code: | 007301608 |
| Phone Number: | 7872842543 |
| Fax Number: | 7872675554 |
| NPI Enumeration Date: | 04/10/2007 |
| NPI Last Update Date: | 04/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 12428 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |