Provider Demographics
NPI:1801551296
Name:ERNEST CASTRO MD PLLC
Entity type:Organization
Organization Name:ERNEST CASTRO MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNEST
Authorized Official - Middle Name:ROSS
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:720-868-3111
Mailing Address - Street 1:6870 W 52ND AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-3953
Mailing Address - Country:US
Mailing Address - Phone:720-299-9734
Mailing Address - Fax:
Practice Address - Street 1:6870 W 52ND AVE STE 212
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3953
Practice Address - Country:US
Practice Address - Phone:720-868-3111
Practice Address - Fax:303-220-4941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-01
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care