Provider Demographics
NPI:1720823438
Name:CASTRO, MARIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 AVE ISLA VERDE APT 14L
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-5425
Mailing Address - Country:US
Mailing Address - Phone:813-618-9135
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF PUERTO RICO - MEDICAL SCIENCE CAMPUS
Practice Address - Street 2:GRADUATE DEPARTMENT - ANESTHESIA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00921
Practice Address - Country:US
Practice Address - Phone:787-758-2525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9490659163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse