Provider Demographics
NPI:1902032436
Name:JOYCE M CASTRO MD PSC
Entity Type:Organization
Organization Name:JOYCE M CASTRO MD PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:787-564-4564
Mailing Address - Street 1:LAGUNA GARDENS SHOPP CTR STE 116
Mailing Address - Street 2:PRIMER NIVEL
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-6400
Mailing Address - Country:US
Mailing Address - Phone:787-253-0396
Mailing Address - Fax:
Practice Address - Street 1:19-22 AVE RAMIREZ DE ARELLANO
Practice Address - Street 2:STE 7 PMB 65
Practice Address - City:GUAYNABO
Practice Address - State:PR
Practice Address - Zip Code:00966-3175
Practice Address - Country:US
Practice Address - Phone:787-564-4564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-10
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16032208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty