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General NPI Number Information
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NPI Number | 1881722197
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Entity Type | Individual
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Provider Name | JAIME TOMAS CASTRO DMD
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Gender | Male
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | URB. SANTA CRUZ, 1 ST STREET D9
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City | BAYAMON
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State | PR
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Zip | 00961
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Country | US
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Telephone | 787-779-7171
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Fax | 787-785-6800
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Provider Business Mailing Address
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Address Line | PASEO MAYOR C29 CALLE 8
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City | SAN JUAN
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State | PR
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Zip | 00926-4671
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Country | US
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Telephone | 787-800-3333
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 2310
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License Number State | PR
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