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General NPI Number Information
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NPI Number | 1801065800
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Entity Type | Individual
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Provider Name | RAYMOND CASTILLO SALAZAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/22/2008
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Last Update Date | 07/28/2008
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Provider Practice Location Address
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Address Line | 86-260 FARRINGTON HWY
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City | WAIANAE
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State | HI
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Zip | 96792
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Country | US
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Telephone | 808-696-7081
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Fax |
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Provider Business Mailing Address
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Address Line | 94-1280 KAHUANUI ST
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City | WAIPAHU
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State | HI
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Zip | 96797-3569
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A100319
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD-14817
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License Number State | HI
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