Active NPI
William Henry Castro, M.D., F.A.C.O.G.
- Gynecology Physician
- Caguas, PR
National Provider Identifier
1083610042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 17160
- Practice address
- 500 Ave Degetau
Hima Plaza 1, Suite 301
Caguas, PR 00725-7301 - Phone
- (787) 653-3126
- NPI assigned
- Jun 23, 2005
- Reactivated
- Mar 24, 2006
- Last updated
- Sep 28, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 18402 | AZ | |
| Gynecology Physician | 207VG0400X | 17160 | PR | Primary |
Addresses
Primary practice location
500 Ave Degetau
Hima Plaza 1, Suite 301
Caguas, PR 00725-7301
Mailing address
PO Box 697
Caguas, PR 00726-0697
Phone (623) 363-0721
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 288747 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18402 | AZ | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ponce Medical School Foundation Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1043208804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317168000000",
"number": "1083610042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 697",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007260697",
"telephone_number": "623-363-0721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 AVE DEGETAU",
"address_2": "HIMA PLAZA 1, SUITE 301",
"city": "CAGUAS",
"state": "PR",
"postal_code": "007257301",
"telephone_number": "787-653-3126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTRO",
"first_name": "WILLIAM",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "M.D., F.A.C.O.G.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-23",
"last_updated": "2011-09-28",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "AZ",
"license": "18402",
"primary": false
},
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "PR",
"license": "17160",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "288747",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Caguas, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.