Provider Demographics
NPI:1508478124
Name:CASTILLO, PAULA ANDREA
Entity Type:Individual
Prefix:MS
First Name:PAULA
Middle Name:ANDREA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 BLUE HERON BLVD. W.
Mailing Address - Street 2:
Mailing Address - City:RIVERA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33404
Mailing Address - Country:US
Mailing Address - Phone:561-758-8830
Mailing Address - Fax:
Practice Address - Street 1:2001 BLUE HERON BLVD. W.
Practice Address - Street 2:
Practice Address - City:RIVERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33404-3340
Practice Address - Country:US
Practice Address - Phone:561-758-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical