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NPI Code Detail

MEDICARE: INGRID BERENICE CASTILLO-MUNOZ PTA

MEDICARE: INGRID BERENICE CASTILLO-MUNOZ PTA
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
1225200000XPhysical Therapy Assistant2181529TX

General Provider Information

NPI Number : 1396590642
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID BERENICE CASTILLO-MUNOZ PTA
Provider Business Mailing Address
First Line : 15260 PERLITE DR
Second Line :
City : EL PASO
State : TX
Zip : 79928-9093
Country : US
Telephone Number : 915-226-6705
Fax Number :
Provider Business Practice Location Address
First Line : 120 PARAGON LN STE 218
Second Line :
City : EL PASO
State : TX
Zip : 79912-6317
Country : US
Telephone Number : 915-213-1289
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2024
Last Update Date : 04/20/2024

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Directions to “ INGRID BERENICE CASTILLO-MUNOZ PTA” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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