MEDICARE: DR. ORESTE CASTELLANOS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QA0505X	Adult Medicine Physician	9785	PR

General Provider Information

NPI Number	:	1013945286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORESTE CASTELLANOS M.D.

Provider Business Mailing Address
First Line	:	PO BOX 8043
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00681-8043
Country	:	US
Telephone Number	:	787-834-6070
Fax Number	:	787-834-5535

Provider Business Practice Location Address
First Line	:	AVE HOSTOS
Second Line	:	CENTRO MEDICO RAMON E. BETANCES
City	:	MAYAGUEZ
State	:	PR
Zip	:	00682-6353
Country	:	US
Telephone Number	:	787-834-6070
Fax Number	:	787-834-5535

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	07/08/2007

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