Active NPI
Yasmyne Ronquillo, M.D.
- Ophthalmology Physician
- Monroe, MI
National Provider Identifier
1104223874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301093402
- Practice address
- 1180 N Monroe St
Monroe, MI 48162-3190 - Phone
- (734) 243-5300
- Fax
- (734) 243-3236
- NPI assigned
- Nov 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301093402 | MI | Primary |
Addresses
Primary practice location
1180 N Monroe St
Monroe, MI 48162-3190
Mailing address
1180 N Monroe St
Monroe, MI 48162-3190
Phone (734) 243-5300
Other names 1
- Yasmyne Castillo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416873600000",
"number": "1104223874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1180 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623190",
"telephone_number": "734-243-5300",
"fax_number": "734-243-3236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623190",
"telephone_number": "734-243-5300",
"fax_number": "734-243-3236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONQUILLO",
"first_name": "YASMYNE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-11-25",
"last_updated": "2014-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301093402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YASMYNE",
"last_name": "CASTILLO",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.