Individual
ISABEL CRISTINA CASTILLO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD470783
PA
390200000X
Student in an Organized Health Care Education/Training Program
MT213865
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126551665001
INDEPENDENCE IS
PA
Enumeration date
06/21/2017
Last updated
07/21/2022
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