Individual
ERICK CASTILLO-BACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9600 SW 8TH ST STE 18, MIAMI, FL 33174-2947
(305) 266-0600
(305) 266-2040
Mailing address
D31 CALLE TREVI, SAN JUAN, PR 00924-5021
(788) 308-3388
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
15247
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720057151
CMS
—
01
—
ACN1148
FLORIDA DEPARMENT OF HEALTH
FL
Enumeration date
03/16/2006
Last updated
10/05/2021
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