Provider Demographics
NPI:1508099250
Name:CASTANO, SAMUEL ANTONIO BUENVIAJE (CSA)
Entity type:Individual
Prefix:MR
First Name:SAMUEL ANTONIO
Middle Name:BUENVIAJE
Last Name:CASTANO
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Gender:M
Credentials:CSA
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Mailing Address - Street 1:5804 PADDLEFISH CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4267
Mailing Address - Country:US
Mailing Address - Phone:301-632-2031
Mailing Address - Fax:
Practice Address - Street 1:1 RESEARCH CT
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3221
Practice Address - Country:US
Practice Address - Phone:240-403-4067
Practice Address - Fax:301-519-8001
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2009-08-28
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical