| Doctor Name: | MR. MARIO L. CASTILLO MALDONADO |
| NPI Number: | 1568454932 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 10065 |
| Business Practice Address: | Bo Susua Baja Carr 127 Sector 4 Calles Yauco, PR - 00698 |
| Business Phone Number: | 7872670302 |
| Business Fax Number: | 7872670302 |
| Mailing Address: | 229 Calle Prol 25 De Julio, Ste #1 YAUCO |
| State: | PR |
| Postal Code: | 00698 |
| Phone Number: | 7872670302 |
| Fax Number: | 7872670302 |
| NPI Enumeration Date: | 08/22/2005 |
| NPI Last Update Date: | 02/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 10065 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |