Provider Demographics
NPI:1821980426
Name:CASTELLANO, SEBASTIAN A (THL)
Entity type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:A
Last Name:CASTELLANO
Suffix:
Gender:M
Credentials:THL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 2140
Mailing Address - Street 2:
Mailing Address - City:FLORIDA
Mailing Address - State:PR
Mailing Address - Zip Code:00650-9739
Mailing Address - Country:US
Mailing Address - Phone:787-377-9376
Mailing Address - Fax:
Practice Address - Street 1:4157 CARR 2
Practice Address - Street 2:KM 41.6 BO ALGARROBO
Practice Address - City:VEGA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00693-3694
Practice Address - Country:US
Practice Address - Phone:787-424-4466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR79422355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant