Provider Demographics
NPI:1497964340
Name:CASTRO RIOPEDRE, LUIS JR (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:
Last Name:CASTRO RIOPEDRE
Suffix:JR
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:URB BONEVILLE GARDENS
Mailing Address - Street 2:CALLE 6- L29
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-363-6532
Mailing Address - Fax:
Practice Address - Street 1:URB. VILLA TURABO
Practice Address - Street 2:CALLE PINO F-22
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-9998
Practice Address - Country:US
Practice Address - Phone:787-703-7777
Practice Address - Fax:787-703-7777
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8545208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRE43435Medicare UPIN