Provider Demographics
NPI:1437754751
Name:OPIO CASTILLO, ARMANDO
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:OPIO CASTILLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:B25 BONAPARTE
Mailing Address - Street 2:VILLAS DEL REY 2
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-6206
Mailing Address - Country:US
Mailing Address - Phone:787-586-9542
Mailing Address - Fax:
Practice Address - Street 1:B25 BONAPARTE
Practice Address - Street 2:VILLAS DEL REY 2
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-6206
Practice Address - Country:US
Practice Address - Phone:787-586-9542
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022108261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care