Individual
JESUS ANTONIO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 CALLE COLON, COROZAL, PR 00783-0870
(787) 859-1049
(787) 859-1049
Mailing address
1 CALLE COLON, COROZAL, PR 00783-2049
(787) 859-1049
(787) 859-1287
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
6333
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134165814
NPI
PR
Enumeration date
06/21/2006
Last updated
09/29/2015
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