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Individual

DR. JOSE JULIAN CASTRO DIAZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
EDIFICION PROFESSIONAL, 301 HOSPITAL MEMOMITA, CALLE JOSE SABASTIAN, AIBONITO, PR 00705-2056
(787) 735-7500
(787) 735-7500
Mailing address
PO BOX 2056, AIBONITO, PR 00705-2056
(787) 735-7500
(787) 735-7500

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
7067
PR
208800000X
Urology Physician
Primary
7067
PR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2-8451CA
SSS
PR
01
601254
MEDICARE Y MUCHO MAS
PR
05
6090035
PR
01
M00324
PLAN DE SALUD MENONITA
PR
Enumeration date
07/15/2005
Last updated
12/01/2008
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