Individual
DR. CAROLYN MARIE CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9501 PASEO DEL NORTE NE, ALBUQUERQUE, NM 87122-2998
(505) 262-9205
(505) 342-8401
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-9205
(505) 342-8401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
88-136
NM
207R00000X
Internal Medicine Physician
M9912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00011528
—
NM
Enumeration date
08/30/2006
Last updated
04/22/2024
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