Provider Demographics
NPI:1265455216
Name:CASILLAS, GIOVANNI C (MD)
Entity Type:Individual
Prefix:DR
First Name:GIOVANNI
Middle Name:C
Last Name:CASILLAS
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Gender:M
Credentials:MD
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Mailing Address - Street 1:CALLE B, ESQUINA J # 16
Mailing Address - Street 2:EDIFICIO MEDICO HERMANAS DAVILA, OFICINA 210
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-780-5130
Mailing Address - Fax:787-200-4898
Practice Address - Street 1:CALLE B, ESQUINA J # 16
Practice Address - Street 2:EDIFICIO MEDICO HERMANAS DAVILA, OFICINA 210
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-780-5130
Practice Address - Fax:787-200-4898
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2010-10-29
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Provider Licenses
StateLicense IDTaxonomies
PR15272207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology