Individual
ALISSANDRO ROQUE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
478 WILLIAMSON RD, SUITE B, MOORESVILLE, NC 28117-9109
(704) 662-3627
(704) 662-3229
Mailing address
PO BOX 602124, CHARLOTTE, NC 28260-2124
(704) 662-3627
(704) 662-3229
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9900793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8912408
—
NC
Enumeration date
01/06/2006
Last updated
02/23/2010
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