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Physician Compare National (NPI:1184695488)

HEALTHCARE PROVIDER: GREGORIO JOEL ASUNCION CASTILLO M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1184695488
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 0042288128
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20040917000519
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CASTILLO
Individual professional last name
Provider First Name GREGORIO JOEL
Individual professional first name
Provider Middle Name A
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 1990
Individual professional's medical school graduation year
Primary Specialty INTERNAL MEDICINE
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 10501 VISTA DEL SOL DR
Group Practice or individual's line 1 address
Line 2 Street Address SUITE 200
Group Practice or individual's line 2 address
City EL PASO
Group Practice or individual's city
State TX
Group Practice or individual's state
Zip Code 799257941
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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