Provider Demographics
NPI:1316608854
Name:CASTILLO TORRES, YAMILETE (DC)
Entity type:Individual
Prefix:DR
First Name:YAMILETE
Middle Name:
Last Name:CASTILLO TORRES
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 1:22022 CIMARRON PKWY APT 1074
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3438
Mailing Address - Country:US
Mailing Address - Phone:787-923-8952
Mailing Address - Fax:
Practice Address - Street 1:12435 BEECHNUT ST STE 101
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-3989
Practice Address - Country:US
Practice Address - Phone:282-933-3399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-06
Last Update Date:2022-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14995111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor