Provider Demographics
NPI:1568621084
Name:CASTILLO, JAVIER ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:JAVIER
Middle Name:ANTONIO
Last Name:CASTILLO
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Gender:M
Credentials:MD
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Mailing Address - Street 1:TORRE MEDICA SAN LUCAS
Mailing Address - Street 2:909 AVE. TITO CASTRO, SUITE #510
Mailing Address - City:PONCE
Mailing Address - State:PR
Mailing Address - Zip Code:00716
Mailing Address - Country:US
Mailing Address - Phone:787-259-7293
Mailing Address - Fax:787-840-6679
Practice Address - Street 1:TORRE MEDICA SAN LUCAS
Practice Address - Street 2:909 AVE. TITO CASTRO, SUITE #510
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00716
Practice Address - Country:US
Practice Address - Phone:787-259-7293
Practice Address - Fax:787-840-6679
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2019-07-12
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Provider Licenses
StateLicense IDTaxonomies
PR18175208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology