Provider Demographics
NPI:1558835447
Name:CASTRO, ERMELINDO
Entity Type:Individual
Prefix:MR
First Name:ERMELINDO
Middle Name:
Last Name:CASTRO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32814 BROWNSTONE LN
Mailing Address - Street 2:
Mailing Address - City:N RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-2504
Mailing Address - Country:US
Mailing Address - Phone:440-406-2518
Mailing Address - Fax:
Practice Address - Street 1:32814 BROWNSTONE LN
Practice Address - Street 2:
Practice Address - City:N RIDGEVILLE
Practice Address - State:OH
Practice Address - Zip Code:44039-2504
Practice Address - Country:US
Practice Address - Phone:440-406-2518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist