Provider Demographics
NPI:1437847423
Name:LARCO CASTILLA, PIERO FERNANDO (MD)
Entity Type:Individual
Prefix:MR
First Name:PIERO
Middle Name:FERNANDO
Last Name:LARCO CASTILLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:METROPOLITAN HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS
Mailing Address - Street 2:1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:212-423-6271
Mailing Address - Fax:
Practice Address - Street 1:METROPOLITAN HOSPITAL CENTER, DEPARTMENT OF PEDIATRICS
Practice Address - Street 2:1901 FIRST AVENUE 15TH FLOOR ROOM 15B-1
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-6271
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-27
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program