Individual
DR. ITHAMAR CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
107 AVE. ORTEGON, CAPARRA GALLERY BLD. STE. 202, GUAYNABO, PR 00966-2517
(787) 783-6698
(787) 793-3105
Mailing address
109 AVE ORTEGON, CAPARRA GALLERY BLD SUITE 202, GUAYNABO, PR 00966-2517
(787) 783-6698
(787) 793-3105
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2239
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447309273
HUMANA
PR
01
—
2048340
UNITED CONCORDIA
PR
01
—
42159
TRIPLE-S
PR
Enumeration date
01/10/2007
Last updated
04/05/2025
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