Provider Demographics
NPI:1467509406
Name:CASTRO, HECTOR JAVIER (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:JAVIER
Last Name:CASTRO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010-7436
Mailing Address - Country:US
Mailing Address - Phone:212-420-9225
Mailing Address - Fax:
Practice Address - Street 1:359 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010-7436
Practice Address - Country:US
Practice Address - Phone:212-420-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2010-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY192560207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
91001913600OtherAMERICHOICE
P721635OtherOXFORD
058391OtherEMPIRE BCBS
1C3760OtherHEALTH NET
56225391OtherAETNA PPO
6010984OtherGHI
NY01709993Medicaid
NY192560OtherHIP
1C3760OtherPHS
2009992OtherAETNA
HC00589310OtherML
N246346OtherWELLCARE
0407669OtherUNITED HEALTHCARE
NY177708OtherELDERPLAN
N246346OtherWELLCARE
2009992OtherAETNA
NYP721635Medicare PIN