Provider Demographics
NPI:1699657429
Name:CASTILLO, YLEANA ANDREA
Entity type:Individual
Prefix:
First Name:YLEANA
Middle Name:ANDREA
Last Name:CASTILLO
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:YLEANA
Other - Middle Name:ANDREA
Other - Last Name:CASTILLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:N/A
Mailing Address - Street 1:809 W GROVE PKWY APT 3088
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-8452
Mailing Address - Country:US
Mailing Address - Phone:970-405-7754
Mailing Address - Fax:
Practice Address - Street 1:1347 N ALMA SCHOOL RD STE 220
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-5932
Practice Address - Country:US
Practice Address - Phone:888-754-0398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other