Healthcare Provider Details

I. General information

NPI: 1205625878
Provider Name (Legal Business Name): B CASTILLO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CALLE SAN RAFAEL
SAN JUAN PR
00909-2518
US

IV. Provider business mailing address

PO BOX 190053
SAN JUAN PR
00919-0053
US

V. Phone/Fax

Practice location:
  • Phone: 787-598-1346
  • Fax:
Mailing address:
  • Phone: 787-598-1346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: BERFA CASTILLO
Title or Position: PRESIDENT
Credential: MD
Phone: 787-598-1346