Provider Demographics
NPI:1881821692
Name:DELEON, RUDOLFO CASTILLO JR (FNP)
Entity Type:Individual
Prefix:MR
First Name:RUDOLFO
Middle Name:CASTILLO
Last Name:DELEON
Suffix:JR
Gender:M
Credentials:FNP
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Mailing Address - Street 1:PO BOX 61160
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78466-1160
Mailing Address - Country:US
Mailing Address - Phone:361-589-4068
Mailing Address - Fax:361-589-4079
Practice Address - Street 1:14254 S PADRE ISLAND DR STE 207
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78418-6278
Practice Address - Country:US
Practice Address - Phone:361-537-3605
Practice Address - Fax:361-589-4079
Is Sole Proprietor?:No
Enumeration Date:2009-06-18
Last Update Date:2021-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX677578363L00000X, 363LF0000X
TXAP117969363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner