Organization
CASTRO GASTROENTEROLOGY MEDICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEBAN CASTRO DIAZ M.D. (PRESIDENT)
(787) 720-7628
Entity
Organization
Contact information
Practice address
AVE GENERAL VALERO # 303, EDIFICIO MEDICO DEL ESTE SUITE 204, FAJARDO, PR 00738-3949
(787) 642-7247
(787) 860-6300
Mailing address
PO BOX 8820, CAROLINA, PR 00988-8820
(787) 720-7628
(787) 720-7628
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
8507
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407920580
INDIVIDUAL PROVIDER NPI
PR
Enumeration date
04/14/2014
Last updated
04/14/2014
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