Provider Demographics
NPI:1821470170
Name:REYES-CASTILLO, KARINA (MD)
Entity Type:Individual
Prefix:DR
First Name:KARINA
Middle Name:
Last Name:REYES-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:PO BOX 194000
Mailing Address - Street 2:PMB 181
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00919-4000
Mailing Address - Country:US
Mailing Address - Phone:787-864-4610
Mailing Address - Fax:
Practice Address - Street 1:URB MONTE APOLO EST
Practice Address - Street 2:8 CALLE 1
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926-9633
Practice Address - Country:US
Practice Address - Phone:787-864-4610
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-23
Last Update Date:2021-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR022536208D00000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice