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NPI Code Detail

MEDICARE: XIOMARY Z CASTRO

MEDICARE: XIOMARY Z CASTRO
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
1133N00000XNutritionist1332PR

General Provider Information

NPI Number : 1568531531
Entity Type Code : Individual
Provider Name (Legal Business Name) : XIOMARY Z CASTRO
Provider Business Mailing Address
First Line : PO BOX 1046
Second Line :
City : SAN SEBASTIAN
State : PR
Zip : 00685-1046
Country : US
Telephone Number : 787-896-2222
Fax Number : 787-896-2222
Provider Business Practice Location Address
First Line : CARR 109 KM 27.8
Second Line : BO CULEBRINAS
City : SAN SEBASTIAN
State : PR
Zip : 00685-9998
Country : US
Telephone Number : 787-896-2222
Fax Number : 787-896-2222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 12/07/2010

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Directions to “ XIOMARY Z CASTRO ” Practice Location

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