Individual
DR. VINCENZ LIM DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2429 35TH AVE, GREELEY, CO 80634-4171
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DR.0073797
CO
207Q00000X
Family Medicine Physician
Q9328
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029604
KAISER COMMERCIAL NUMBER
CO
05
—
367810401
—
TX
05
—
367810402
—
TX
Enumeration date
03/25/2014
Last updated
12/10/2024
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