Provider Demographics
NPI:1437299443
Name:CASTELLVI, MARIA CRISTINA (DMD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:CRISTINA
Last Name:CASTELLVI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 CALLE JUAN C BORBON
Mailing Address - Street 2:A-229
Mailing Address - City:GUAYNABO
Mailing Address - State:PR
Mailing Address - Zip Code:00969-5316
Mailing Address - Country:US
Mailing Address - Phone:787-272-1786
Mailing Address - Fax:
Practice Address - Street 1:A6 CALLE MARGINAL
Practice Address - Street 2:URB COSTA DE ORO
Practice Address - City:DORADO
Practice Address - State:PR
Practice Address - Zip Code:00646-2004
Practice Address - Country:US
Practice Address - Phone:787-796-6034
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR23081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics