Provider Demographics
NPI:1326207937
Name:PLATON-RACELA, BASILISA CELESTE CASTILLO (MD)
Entity Type:Individual
Prefix:
First Name:BASILISA CELESTE
Middle Name:CASTILLO
Last Name:PLATON-RACELA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BASILISA CELESTE
Other - Middle Name:CASTILLO
Other - Last Name:PLATON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:99-853 HOLOAI ST
Mailing Address - Street 2:
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-3583
Mailing Address - Country:US
Mailing Address - Phone:808-384-5411
Mailing Address - Fax:
Practice Address - Street 1:16001 W 9 MILE RD
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4818
Practice Address - Country:US
Practice Address - Phone:248-849-3014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program