Individual
JOSE RICARDO LOPEZ CASTELLANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
94036
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2018
Last updated
05/20/2025
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