MEDICARE: ORLANDO A CASTILLO 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
1	2085R0202X	Diagnostic Radiology Physician	220764	MA
2	2085R0202X	Diagnostic Radiology Physician	0101251765	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477710507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO A CASTILLO MD

Provider Business Mailing Address
First Line	:	415 E 87TH ST
Second Line	:	APT. 5C
City	:	NEW YORK
State	:	NY
Zip	:	10128-6522
Country	:	US
Telephone Number	:	617-824-0504
Fax Number	:

Provider Business Practice Location Address
First Line	:	415 E 87TH ST
Second Line	:	APT. 5C
City	:	NEW YORK
State	:	NY
Zip	:	10128-6522
Country	:	US
Telephone Number	:	617-824-0504
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	09/23/2024

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Directions to “ ORLANDO A CASTILLO MD” Practice Location

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