Healthcare Provider Details

I. General information

NPI: 1578525630
Provider Name (Legal Business Name): JUAN LINO CASTRO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. JUAN LINO CASTRO GONZALEZ

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 ROUTE 220 HWY STE 205
MUNCY PA
17756-7568
US

IV. Provider business mailing address

100 N ACADEMY AVE
DANVILLE PA
17822-4903
US

V. Phone/Fax

Practice location:
  • Phone: 570-308-2550
  • Fax: 570-308-2552
Mailing address:
  • Phone: 570-308-2550
  • Fax: 570-308-2552

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD056142L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: