Healthcare Provider Details

I. General information

NPI: 1124188982
Provider Name (Legal Business Name): CRISTINA CASTELLANOS PORTELA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 AVE CASA LINDA
BAYAMON PR
00959-9000
US

IV. Provider business mailing address

VALLE SAN LUIS 277 VIA VEREDA
CAGUAS PR
00725
US

V. Phone/Fax

Practice location:
  • Phone: 787-789-1996
  • Fax:
Mailing address:
  • Phone: 787-922-1028
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number14616
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number580
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: