Provider Demographics
NPI:1811455900
Name:CASTILLO CASTRO, YARITZA (MD)
Entity type:Individual
Prefix:DR
First Name:YARITZA
Middle Name:
Last Name:CASTILLO CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:YARITZA
Other - Middle Name:
Other - Last Name:CASTILLO CASTRO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:BUZON 2705 PLAYUELAS
Mailing Address - Street 2:
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603
Mailing Address - Country:US
Mailing Address - Phone:787-240-2270
Mailing Address - Fax:
Practice Address - Street 1:2705 PLAYUELAS
Practice Address - Street 2:
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603
Practice Address - Country:US
Practice Address - Phone:787-240-2270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-07
Last Update Date:2019-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR21260208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice