Provider Demographics
NPI:1366525867
Name:CASTILLO, MARIA EMILIA FIGUEROA (CMT)
Entity type:Individual
Prefix:MRS
First Name:MARIA EMILIA
Middle Name:FIGUEROA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:MRS
Other - First Name:MIMI
Other - Middle Name:F
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CMT
Mailing Address - Street 1:204 E JOPPA RD PH 4
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-3118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:204 E JOPPA RD PH 4
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-3118
Practice Address - Country:US
Practice Address - Phone:410-823-7698
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM00170225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist