Marcial Castillo, MD
Individual provider Active NPI General Practice Physician · Juana Diaz, PR
NPI 1124170048 · NPPES record last updated Jul 8, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Nov 20, 2012.
Key facts
- NPI
- 1124170048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 16712 (PR)
- Practice address
- HC 02 Box 8992
Juana Diaz, PR 00795 - Phone
- (787) 315-3799
- Fax
- (787) 845-1193
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16712 | PR | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16712 | PR | Yes |
Addresses
Primary practice location
HC 02 Box 8992
Juana Diaz, PR 00795
Mailing address
Urb Hucares Calle # 3 Casa #6
HC 02 Box 8992
Juana Diaz, PR 00795
Phone (787) 315-3799
Other providers in Juana Diaz, PR
- Suzette Candelario
- Norimar Caraballo
- Carlos R Vergne LLC
- Ilia E Castanon
- Janira Castillo Playa
- Miriam Ivette Centeno Rivera
- Centro Ararat, Inc
- Centro de Terapia Fisica de Juana Diaz
- Centro de Vacunacion Buena Fe
- Centro Interdisciplinario Psicoterapeutico PSC
All providers in Juana Diaz, PR · General Practice Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.