Provider Demographics
NPI:1437200532
Name:CASTILLO-MARTINEZ, ZULMA L (PSY D)
Entity Type:Individual
Prefix:DR
First Name:ZULMA
Middle Name:L
Last Name:CASTILLO-MARTINEZ
Suffix:
Gender:F
Credentials:PSY D
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 5218
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00726-5218
Mailing Address - Country:US
Mailing Address - Phone:787-367-3932
Mailing Address - Fax:787-743-8800
Practice Address - Street 1:50 AVE LUIS MUNOZ MARIN
Practice Address - Street 2:QUADRANGLE MEDICAL CENTER SUITE 305
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-0857
Practice Address - Fax:787-687-7580
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-15
Last Update Date:2017-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2165103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRPS-1034Medicare UPIN
PRQ-14598Medicare UPIN
PR56703CAMedicare UPIN
PR219025Medicare UPIN
PR2928Medicare UPIN
PR2929Medicare UPIN
PR516078Medicare UPIN