Active NPI
Victor M Castillo Torres
- Clinical Medical Laboratory
- Anasco, PR
National Provider Identifier
1184761900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 359
- Legal business name
- VICTOR M CASTILLO TORRES
- Practice address
- 42 Calle 65 Infanteria
Anasco, PR 00610-2902 - Phone
- (787) 826-2275
- NPI assigned
- Jan 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Victor M Castillo, MT
- Title
- Director
- Phone
- (787) 826-2275
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 359 | PR | Primary |
Addresses
Primary practice location
42 Calle 65 Infanteria
Anasco, PR 00610-2902
Mailing address
PO Box 1163
Anasco, PR 00610-1163
Phone (787) 826-2275
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40D0675943 | Other | CLIA |
Other names 1
- LABORATORIO CLINICO CASTILLO
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110920000176 | PR | Part B Supplier - Independent Clinical Laboratory | 4981875168 | Practice locations: Anasco, PR |
National Provider Directory
National Provider DirectoryLocations
42 Calle 65 Infanteria
Anasco, PR 00610
Phone (787) 826-2275
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Other Specialist/Technologist
- Anasco, PR
- NPI 1669555009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1431475200000",
"number": "1184761900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1163",
"city": "ANASCO",
"state": "PR",
"postal_code": "006101163",
"telephone_number": "787-826-2275",
"fax_number": "787-826-5211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 CALLE 65 INFANTERIA",
"city": "ANASCO",
"state": "PR",
"postal_code": "006102902",
"telephone_number": "787-826-2275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VICTOR M CASTILLO TORRES",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-31",
"last_updated": "2015-05-13",
"status": "A",
"authorized_official_last_name": "CASTILLO",
"authorized_official_first_name": "VICTOR",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "17878262275",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MT"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "PR",
"license": "359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "40D0675943",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LABORATORIO CLINICO CASTILLO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Anasco, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.