Provider Demographics
NPI:1780039198
Name:CASTRODAD MOLINA, RHAISA MIRIETTE (MD)
Entity Type:Individual
Prefix:
First Name:RHAISA
Middle Name:MIRIETTE
Last Name:CASTRODAD MOLINA
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:PO BOX 1927
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1927
Mailing Address - Country:US
Mailing Address - Phone:787-241-4500
Mailing Address - Fax:
Practice Address - Street 1:CENTRO MEDICO MENONITA OFC 205
Practice Address - Street 2:CARR 14 INTERIOR, BARRIO RINCON
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-535-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR218342084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty