Provider Demographics
NPI:1629743893
Name:CASTRO FELIU, EDGAR EMANUEL (MD)
Entity Type:Individual
Prefix:
First Name:EDGAR
Middle Name:EMANUEL
Last Name:CASTRO FELIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:AVE. LAUREL #100, SANTA JUANITA
Mailing Address - Street 2:HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00936
Mailing Address - Country:US
Mailing Address - Phone:787-787-5151
Mailing Address - Fax:
Practice Address - Street 1:AVE. LAUREL #100, SANTA JUANITA
Practice Address - Street 2:HOSPITAL UNIVERSITARIO DR. RAMON RUIZ ARNAU
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00936
Practice Address - Country:US
Practice Address - Phone:787-787-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR35508-R390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program