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NPI Code Detail

MEDICARE: MARTIN CASTILLO

MEDICARE: MARTIN CASTILLO
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
1106S00000XBehavior TechnicianNV

General Provider Information

NPI Number : 1407794373
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN CASTILLO
Provider Business Mailing Address
First Line : 610 BELROSE ST
Second Line :
City : LAS VEGAS
State : NV
Zip : 89107-2234
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3035 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2200
Country : US
Telephone Number : 702-857-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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Directions to “ MARTIN CASTILLO ” Practice Location

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