Provider Demographics
NPI:1013945286
Name:CASTELLANOS, ORESTE (MD)
Entity Type:Individual
Prefix:DR
First Name:ORESTE
Middle Name:
Last Name:CASTELLANOS
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:PO BOX 8043
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00681-8043
Mailing Address - Country:US
Mailing Address - Phone:787-834-6070
Mailing Address - Fax:787-834-5535
Practice Address - Street 1:AVE HOSTOS
Practice Address - Street 2:CENTRO MEDICO RAMON E. BETANCES
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-6353
Practice Address - Country:US
Practice Address - Phone:787-834-6070
Practice Address - Fax:787-834-5535
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR9785207QA0505X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR82156Medicare UPIN