Provider Demographics
NPI:1528271491
Name:CASTRODAD, ARANZAZU (DMD)
Entity type:Individual
Prefix:
First Name:ARANZAZU
Middle Name:
Last Name:CASTRODAD
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1852
Mailing Address - Street 2:
Mailing Address - City:CIDRA
Mailing Address - State:PR
Mailing Address - Zip Code:00739-1852
Mailing Address - Country:US
Mailing Address - Phone:787-744-7595
Mailing Address - Fax:787-744-7595
Practice Address - Street 1:URBANIZACION VILLA DEL REY
Practice Address - Street 2:CALLE 1 G-5
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-744-7595
Practice Address - Fax:787-744-7595
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR25431223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice