Provider Demographics
NPI:1043238124
Name:CASTILLO, JAIRO (MD)
Entity Type:Individual
Prefix:
First Name:JAIRO
Middle Name:
Last Name:CASTILLO
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 1:7365 MAIN ST
Mailing Address - Street 2:BRIDGEPORT ANESTHESIA ASSOCIATES, P.C.
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-1300
Mailing Address - Country:US
Mailing Address - Phone:203-384-3174
Mailing Address - Fax:
Practice Address - Street 1:267 GRANT ST
Practice Address - Street 2:BRIDGEPORT ANESTHESIA ASSOCIATES, P.C.
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06610-2805
Practice Address - Country:US
Practice Address - Phone:203-384-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2009-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT031504207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT060855632003OtherCIGNA CT
CT500HBA011C1OtherBCBS CT
CTP00321746OtherRAILROAD MEDICARE
CTCHN604OtherCOMMUNITY HEALTH NETWORK
CT31504OtherCONNECTICARE
CT95012OtherHEALTH NET
CTA770995OtherOXFORD HEALTH PLANS
CT4335535OtherAETNA CT
CT500HBA011C1OtherBLUE CARE FAMILY PLAN
CTE91830Medicare UPIN
CTP00321746OtherRAILROAD MEDICARE