Individual
DR. JAVIER CASTILLO GRANERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
KM 11.7 PR-2, BAYAMON MEDICAL PLAZA, SUITE 204, BAYAMON, PR 00959
(787) 620-8181
Mailing address
KM 11.7 PR-2, BAYAMON MEDICAL PLAZA, SUITE 204, BAYAMON, PR 00959
(787) 620-8181
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
22046
PR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
ME142409
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2010
Last updated
10/27/2020
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