Provider Demographics
NPI:1215417654
Name:RIOS CASTILLO, NATALIA SOFIA (MD)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:SOFIA
Last Name:RIOS CASTILLO
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 7412
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00916-7412
Mailing Address - Country:US
Mailing Address - Phone:787-469-7732
Mailing Address - Fax:
Practice Address - Street 1:364 CALLE ISMAEL RIVERA
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00912-4115
Practice Address - Country:US
Practice Address - Phone:787-233-3424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-15
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR22781208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics