Provider Demographics
NPI:1033112644
Name:CASTANEDA, RAMON TORRES (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMON
Middle Name:TORRES
Last Name:CASTANEDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 TAYLOR AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-2820
Mailing Address - Country:US
Mailing Address - Phone:724-454-7676
Mailing Address - Fax:
Practice Address - Street 1:130 TAYLOR AVE
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-2820
Practice Address - Country:US
Practice Address - Phone:724-454-7676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-27
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA39501207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A395010Medicaid
CAB37346Medicare UPIN
CA00A395010Medicare ID - Type Unspecified