| Doctor Name: | DR. VICTOR J CASILLAS |
| NPI Number: | 1285667386 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME60244 |
| Business Practice Address: | 1611 Nw 12th Ave Box 016960 (m851) Miami, FL - 331361005 |
| Business Phone Number: | 3052436358 |
| Business Fax Number: | 3052438470 |
| Mailing Address: | 1611 Nw 12th Ave, Box 016960 (m851) MIAMI |
| State: | FL |
| Postal Code: | 331361005 |
| Phone Number: | 3052436358 |
| Fax Number: | 3052438470 |
| NPI Enumeration Date: | 07/09/2006 |
| NPI Last Update Date: | 04/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | ME60244 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |