Provider Demographics
NPI:1306943634
Name:CASTRO QUILES, RICARDO (MD)
Entity type:Individual
Prefix:DR
First Name:RICARDO
Middle Name:
Last Name:CASTRO QUILES
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 1:550 CALLE S CUEVAS BUSTAMANTE
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00918-2683
Mailing Address - Country:US
Mailing Address - Phone:787-378-2104
Mailing Address - Fax:787-759-0101
Practice Address - Street 1:HIMA SAN PABLO
Practice Address - Street 2:100 LUIS MUNOZ MARIN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-4081
Practice Address - Country:US
Practice Address - Phone:787-653-3434
Practice Address - Fax:787-653-1280
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2015-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR12138207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRH55023Medicare UPIN
PR0088856Medicare PIN
PR0088856Medicare ID - Type Unspecified