Provider Demographics
NPI:1962032268
Name:DECASTRO, RACQUEL SALES (MD)
Entity Type:Individual
Prefix:MRS
First Name:RACQUEL
Middle Name:SALES
Last Name:DECASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MS
Other - First Name:RACQUEL
Other - Middle Name:SALES
Other - Last Name:DECASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16 MAYFAIR STREET
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:617-610-5724
Mailing Address - Fax:
Practice Address - Street 1:LAHEY HOSPITAL & MEDICAL CENTER 31 BURLINGTON MALL ROAD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805
Practice Address - Country:US
Practice Address - Phone:781-744-5100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-25
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program