Provider Demographics
NPI:1861831646
Name:DE TRINIDAD CASTRO, JOSIAS GUILLERMO (MD)
Entity Type:Individual
Prefix:
First Name:JOSIAS
Middle Name:GUILLERMO
Last Name:DE TRINIDAD CASTRO
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 1:155 S NEWMARK AVE
Mailing Address - Street 2:
Mailing Address - City:PARLIER
Mailing Address - State:CA
Mailing Address - Zip Code:93648-2531
Mailing Address - Country:US
Mailing Address - Phone:559-646-1200
Mailing Address - Fax:
Practice Address - Street 1:155 S NEWMARK AVE
Practice Address - Street 2:
Practice Address - City:PARLIER
Practice Address - State:CA
Practice Address - Zip Code:93648-2531
Practice Address - Country:US
Practice Address - Phone:559-646-1200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-14
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR0703207R00000X
CAC174719207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine