Individual
IDA M CASTA-MENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
AVE ALBIZU CAMPOS #156 REPARTO LOPEZ, AGUADILLA, PR 00605
(787) 819-1305
(787) 819-1305
Mailing address
PO BOX 4164, AGUADILLA, PR 00605
(787) 819-1305
(787) 819-1305
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
3068
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1416
PREFERRED MEDICARE CHOICE
—
01
—
8000286
HUMANA
—
Enumeration date
06/21/2006
Last updated
07/08/2007
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