Healthcare Provider Details

I. General information

NPI: 1003023813
Provider Name (Legal Business Name): JOYCE MARIE CASTRO GONZALEZ M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2007
Last Update Date: 01/11/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CALLE SAN MIGUEL APT 75
GUAYNABO PR
00966-7941
US

IV. Provider business mailing address

1 CALLE SAN MIGUEL # 75
GUAYNABO PR
00966-7940
US

V. Phone/Fax

Practice location:
  • Phone: 787-758-8383
  • Fax: 787-758-0105
Mailing address:
  • Phone: 787-564-4564
  • Fax: 787-783-3029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081H0002X
TaxonomyHospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
License Number16032
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: