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NPI Code Detail

MEDICARE: DR. XIOMARA MICHELLE CASTILLO RIVERA MD

MEDICARE: DR. XIOMARA MICHELLE CASTILLO RIVERA 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
1207R00000XInternal Medicine Physician26810NV
2207R00000XInternal Medicine Physician75107AZ
3207R00000XInternal Medicine PhysicianMD227151OR

General Provider Information

NPI Number : 1740866599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. XIOMARA MICHELLE CASTILLO RIVERA MD
Provider Business Mailing Address
First Line : 745 W MOANA LN STE 300
Second Line :
City : RENO
State : NV
Zip : 89509-4980
Country : US
Telephone Number : 775-327-5471
Fax Number :
Provider Business Practice Location Address
First Line : 36 SW NYE ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-3821
Country : US
Telephone Number : 541-265-4947
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2021
Last Update Date : 02/11/2026

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