Provider Demographics
NPI:1700369337
Name:CASTILLO, SAUL CARLOS
Entity Type:Individual
Prefix:MR
First Name:SAUL
Middle Name:CARLOS
Last Name:CASTILLO
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 1:7650 MILE 2 1/2 EAST RD
Mailing Address - Street 2:
Mailing Address - City:MERCEDES
Mailing Address - State:TX
Mailing Address - Zip Code:78570-4664
Mailing Address - Country:US
Mailing Address - Phone:956-463-4574
Mailing Address - Fax:210-568-4290
Practice Address - Street 1:7650 MILE 2 1/2 EAST RD
Practice Address - Street 2:
Practice Address - City:MERCEDES
Practice Address - State:TX
Practice Address - Zip Code:78570-4664
Practice Address - Country:US
Practice Address - Phone:956-463-4574
Practice Address - Fax:210-568-4290
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)