Healthcare Provider Details

I. General information

NPI: 1619860087
Provider Name (Legal Business Name): CARMEN ELENA CASTILLO BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H9 CALLE SANTA RITA
CAGUAS PR
00725-3449
US

IV. Provider business mailing address

H9 CALLE SANTA RITA
CAGUAS PR
00725-3449
US

V. Phone/Fax

Practice location:
  • Phone: 787-203-6374
  • Fax: 939-449-8727
Mailing address:
  • Phone: 787-203-6374
  • Fax: 939-449-8727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number86683
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: