Provider Demographics
NPI:1336164581
Name:CASTILLO, LUZ R (DC)
Entity Type:Individual
Prefix:DR
First Name:LUZ
Middle Name:R
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 W FLAGLER ST STE 203
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2153
Mailing Address - Country:US
Mailing Address - Phone:305-520-7720
Mailing Address - Fax:305-901-2344
Practice Address - Street 1:8000 W FLAGLER ST STE 203
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144
Practice Address - Country:US
Practice Address - Phone:305-520-7720
Practice Address - Fax:305-901-2344
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2019-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9050111N00000X
FLCH 9050111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty