Healthcare Provider Details

I. General information

NPI: 1982164398
Provider Name (Legal Business Name): NICOLE KARELYS SOSA CASTELLANOS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 PR-696 DOCTORS' CENTER HOSPITAL ORLANDO HEALTH
DORADO PR
00646-5718
US

IV. Provider business mailing address

UPR- DEPARTMENT OF INTERNAL MEDICINE ALLERGY AND IMMUNOLOGY SECTION BOX 365067
SAN JUAN PR
00936-5067
US

V. Phone/Fax

Practice location:
  • Phone: 787-625-3030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number22739
License Number StatePR
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number22739
License Number StatePR
# 3
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License Number22739
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: