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General NPI Number Information
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NPI Number | 1134338858
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Entity Type | Individual
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Provider Name | VINIA MADONNA CASTILLO MENDOZA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 10 MEMBERS WAY STE 402
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City | DOVER
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State | NH
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Zip | 03820-5933
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Country | US
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Telephone | 603-740-9713
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 412503
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City | BOSTON
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State | MA
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Zip | 02241-2503
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 018708
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 18077
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License Number State | NH
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