Healthcare Provider Details

I. General information

NPI: 1801065990
Provider Name (Legal Business Name): MARIA GABRIELA CASTRO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2008
Last Update Date: 11/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 S 10TH AVE
SILER CITY NC
27344-2779
US

IV. Provider business mailing address

590 MANNING DR
CHAPEL HILL NC
27599-6119
US

V. Phone/Fax

Practice location:
  • Phone: 919-663-1744
  • Fax:
Mailing address:
  • Phone: 984-974-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2018-01424
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: