Provider Demographics
NPI:1528211372
Name:CASTRO, HECTOR J (MD)
Entity Type:Individual
Prefix:DR
First Name:HECTOR
Middle Name:J
Last Name:CASTRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3821 MASTHEAD ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-4679
Mailing Address - Country:US
Mailing Address - Phone:505-998-7400
Mailing Address - Fax:505-998-7741
Practice Address - Street 1:3821 MASTHEAD ST NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-4679
Practice Address - Country:US
Practice Address - Phone:505-998-7400
Practice Address - Fax:505-998-7741
Is Sole Proprietor?:No
Enumeration Date:2008-10-24
Last Update Date:2016-04-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NMMD2012-0572207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM79622046Medicaid
NMMD2012-0572OtherMEDICAL LICENSE
NM79622046Medicaid