Individual provider Active NPI

Ruben Dario Rosario Castillo, M.D

  • General Practice Physician
  • Lajas, PR
National Provider Identifier
1063412856
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14435 Issued in PR
Practice address
Carr. 116 KM 2.0 Bo Sabana Yeguas
Lajas, PR 00667-2061
Phone
(787) 899-2865
Fax
(787) 899-2865
NPI assigned
Jul 22, 2005
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 14435 PR Primary

Addresses

Primary practice location

Carr. 116 KM 2.0 Bo Sabana Yeguas
Lajas, PR 00667-2061

Mailing address

PO Box 902
Lajas, PR 00667-0902
Phone (787) 899-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130129000107 PR Practitioner - General Practice 0244484269 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14435PRMDSocial Worker

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1063412856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 902",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006670902",
            "telephone_number": "787-899-2865",
            "fax_number": "787-899-2865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 116 KM 2.0 BO SABANA YEGUAS",
            "city": "LAJAS",
            "state": "PR",
            "postal_code": "006672061",
            "telephone_number": "787-899-2865",
            "fax_number": "787-899-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSARIO CASTILLO",
        "first_name": "RUBEN",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-22",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "14435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lajas, PR

Sources for this page

Verify at the official NPI Registry.