Organization Active NPI

Victor M Castillo Torres

  • Clinical Medical Laboratory
  • Anasco, PR
National Provider Identifier
1184761900
Registry record updated May 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
359 Issued in PR
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

Updated by the provider on May 13, 2015

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

Authorized official

Name
Mr. Victor M Castillo, MTNPI 1669555009
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
40D0675943OtherCLIA

Other names 1

  • LABORATORIO CLINICO CASTILLO Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110920000176 PR Part B Supplier - Independent Clinical Laboratory 4981875168 Practice locations: Anasco, PR

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.