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NPI Code Detail

MEDICARE: DR. JAIME ATILES CASTRO MD

MEDICARE: DR. JAIME ATILES CASTRO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology Physician22446PR
22085R0204XVascular & Interventional Radiology Physician22446PR

General Provider Information

NPI Number : 1063813285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAIME ATILES CASTRO MD
Provider Business Mailing Address
First Line : PO BOX 19120
Second Line :
City : SAN JUAN
State : PR
Zip : 00910
Country : US
Telephone Number : 787-625-1446
Fax Number :
Provider Business Practice Location Address
First Line : 1462 CALLE PROF. AUGUSTO RODRIGEZ
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2145
Country : US
Telephone Number : 787-625-1446
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/08/2014
Last Update Date : 08/30/2023

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