Provider Demographics
NPI:1760595524
Name:CASTILLO, ZENAIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:ZENAIDA
Middle Name:
Last Name:CASTILLO
Suffix:
Gender:F
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:PMB #17 PO BOX 70344
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-0344
Mailing Address - Country:US
Mailing Address - Phone:787-642-7357
Mailing Address - Fax:
Practice Address - Street 1:CAMELIA ST #1327
Practice Address - Street 2:URB. ROLLING HILL
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00936-0344
Practice Address - Country:US
Practice Address - Phone:787-642-7357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR15746174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist