Individual
DR. CECINIO CASTILLO RONQUILLO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
2770 N UNION BLVD STE 140, COLORADO SPRINGS, CO 80909-1183
(719) 473-9595
(719) 227-0669
Mailing address
30 N 1900 E, ROOM 4C104, SALT LAKE CITY, UT 84132-0002
(801) 581-7606
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
DR.0065385
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000195721
—
CO
Enumeration date
03/30/2015
Last updated
03/31/2022
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