Individual
JOSE P DECASTRO VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2021 PERDIDO ST FL 7, NEW ORLEANS, LA 70112-1352
(504) 568-3381
Mailing address
PO BOX 7004, PONCE, PR 00732-7004
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
347223
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/04/2022
Last updated
06/25/2025
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