MEDICARE: DR. RICARDO CASTRO QUILES 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	207L00000X	Anesthesiology Physician	12138	PR

General Provider Information

NPI Number	:	1306943634
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICARDO CASTRO QUILES MD

Provider Business Mailing Address
First Line	:	550 CALLE S CUEVAS BUSTAMANTE
Second Line	:
City	:	SAN JUAN
State	:	PR
Zip	:	00918-2683
Country	:	US
Telephone Number	:	787-378-2104
Fax Number	:	787-759-0101

Provider Business Practice Location Address
First Line	:	HIMA SAN PABLO
Second Line	:	100 LUIS MUNOZ MARIN
City	:	CAGUAS
State	:	PR
Zip	:	00725-4081
Country	:	US
Telephone Number	:	787-653-3434
Fax Number	:	787-653-1280

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

Provider Enumeration Date	:	09/20/2006
Last Update Date	:	11/11/2015

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