Provider Demographics
NPI:1326863689
Name:CASTILLO PEREZ, RAMON ELIAS (CMI: SPANISH)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:ELIAS
Last Name:CASTILLO PEREZ
Suffix:
Gender:M
Credentials:CMI: SPANISH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:985 PORT WAY
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-3440
Mailing Address - Country:US
Mailing Address - Phone:718-514-9883
Mailing Address - Fax:
Practice Address - Street 1:985 PORT WAY
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-3440
Practice Address - Country:US
Practice Address - Phone:718-514-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty