Individual
DR. CARLOS A CASTRO MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4802 SPID DR, CORPUS CHRISTI, TX 78411-4202
(361) 992-6700
Mailing address
3902 EVIS DR, CORPUS CHRISTI, TX 78414
(787) 380-6715
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
540
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100030
LA CRUZ AZUL
PA
01
—
50662
PMC
PR
01
—
660614288
COSVI
PR
01
—
7140015
HUMANA HEALTH PLANS
PR
01
—
890162
MEDICARE Y MUCHO MAS
PR
Enumeration date
02/06/2007
Last updated
06/25/2018
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