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General NPI Number Information
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NPI Number | 1316044704
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Entity Type | Individual
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Provider Name | JOSE MANUEL CASTRO RODRIGUEZ M.D., F.A.C.R.
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | TORRE SAN FRANCISCO SUITE 408, AVE DE DIEGO 369
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City | RIO PIEDRAS
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State | PR
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Zip | 00923
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Country | US
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Telephone | 787-767-4100
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Fax | 787-767-4119
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Provider Business Mailing Address
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Address Line | MARBELLA 22 URB PASEO LAS BRISAS
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City | SAN JUAN
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State | PR
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Zip | 00926
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Country | US
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Telephone | 787-755-2551
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Fax | 787-767-4119
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 4176
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License Number State | PR
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