Provider Demographics
NPI:1619990967
Name:SAENZ-CASTILLO, MONICA LISA (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:LISA
Last Name:SAENZ-CASTILLO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 S EXPRESSWAY 77
Mailing Address - Street 2:
Mailing Address - City:RAYMONDVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78580-4239
Mailing Address - Country:US
Mailing Address - Phone:956-689-5506
Mailing Address - Fax:956-689-1988
Practice Address - Street 1:646 S EXPRESSWAY 77
Practice Address - Street 2:
Practice Address - City:RAYMONDVILLE
Practice Address - State:TX
Practice Address - Zip Code:78580-4239
Practice Address - Country:US
Practice Address - Phone:956-690-4012
Practice Address - Fax:956-690-4026
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXPA04040363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPA04040OtherLICENSE
TXPA04040OtherLICENSE
375092ZJ3PMedicare PIN