Individual
MS. ELAINE DEL CASTILLO MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1414 MEDICAL CENTER DR, WILMINGTON, NC 28401-7505
(910) 790-9949
Mailing address
615 SHIPYARD BLVD, WILMINGTON, NC 28412-6431
(910) 343-0145
(910) 341-5779
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05465
NC
363A00000X
Physician Assistant
50002385
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388100
ANTHEM
OH
Enumeration date
05/28/2006
Last updated
05/01/2025
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