MEDICARE: FERNANDO RAUL DOMINGO DE CASTRO MD

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	207R00000X	Internal Medicine Physician	30062	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184617979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FERNANDO RAUL DOMINGO DE CASTRO MD

Provider Business Mailing Address
First Line	:	9524 W CAMELBACK RD PMB 186
Second Line	:	STE 130
City	:	GLENDALE
State	:	AZ
Zip	:	85305-0901
Country	:	US
Telephone Number	:	623-322-1145
Fax Number	:	623-466-9552

Provider Business Practice Location Address
First Line	:	4150 N 108TH AVE
Second Line	:	STE 142
City	:	PHOENIX
State	:	AZ
Zip	:	85037-5467
Country	:	US
Telephone Number	:	623-322-1145
Fax Number	:	623-466-9552

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

Provider Enumeration Date	:	08/26/2005
Last Update Date	:	03/08/2011

Similar Medicare Providers

1609805530 — PHOENIX WEST INTERNAL MEDICINE LLC
Practice Location Address:

4150 N 108TH AVE , STE 142
PHOENIX, AZ
85037-5467

Practice Phone: 623-322-1145
Practice Fax: 623-466-9552

1861771586 — DESERT SUN HOME HEALTH, LLC
Practice Location Address:

4150 N 108TH AVE , STE 138
PHOENIX, AZ
85037-5467

Practice Phone: 623-271-9755
Practice Fax: 623-271-9756

1689124745 — MRS. SARAH ANN GERBER M.M.S., P.A.-C
Practice Location Address:

4150 N 108TH AVE , STE 142
PHOENIX, AZ
85037-5467

Practice Phone: 623-242-9259
Practice Fax:

1528639317 — JENNIFER ROSS COMPTIS MD
Practice Location Address:

4150 N 108TH AVE STE 142
PHOENIX, AZ
85037-5467

Practice Phone: 623-322-1145
Practice Fax: 623-466-9552

1366126526 — HEALTHFIRST MANAGEMENT GROUP, LLC
Practice Location Address:

4150 N 108TH AVE STE 142
PHOENIX, AZ
85037-5467

Practice Phone: 623-242-9259
Practice Fax:

1215702535 — HEALTHFIRST MEDICAL GROUP PC
Practice Location Address:

4150 N 108TH AVE STE 142
PHOENIX, AZ
85037-5467

Practice Phone: 623-242-9259
Practice Fax: 623-466-9552

Directions to “ FERNANDO RAUL DOMINGO DE CASTRO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.