Individual
ISABEL CRISTINA CASTILLO HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4500-10, APT 201B, PHILADELPHIA, PA 19124
(215) 510-0029
Mailing address
1100 S BROAD ST UNIT 201B, PHILADELPHIA, PA 19146-5026
(215) 510-0029
(215) 456-3436
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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