Provider Demographics
NPI:1093908915
Name:CASILLAS, STELLA MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:STELLA
Middle Name:MARIE
Last Name:CASILLAS
Suffix:
Gender:F
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:PO BOX 589
Mailing Address - Street 2:
Mailing Address - City:DORADO
Mailing Address - State:PR
Mailing Address - Zip Code:00646-0589
Mailing Address - Country:US
Mailing Address - Phone:787-820-8989
Mailing Address - Fax:787-820-6715
Practice Address - Street 1:METRO PAVIA CLINICS
Practice Address - Street 2:CARR 129 VICTOR ROJAS 2 ZONA IND'L
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612
Practice Address - Country:US
Practice Address - Phone:787-820-8989
Practice Address - Fax:787-820-6715
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-23
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17473207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology