Individual provider Active NPI

Christian Castillo Latorre, M.D

  • Critical Care Medicine (Internal Medicine) Physician
  • San Juan, PR
National Provider Identifier
1235686601
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
22164 Issued in PR
Practice address
100 Grand Paseo Blvd Ste 106-a
San Juan, PR 00926-5905
Phone
(787) 755-4245
NPI assigned
Sep 2, 2016
Last updated
Jan 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 33574 PR
Student in an Organized Health Care Education/Training Program 390200000X 33196 PR
Internal Medicine Physician 207R00000X 32437 PR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 22164 PR Primary
Pulmonary Disease Physician 207RP1001X 22164 PR

Addresses

Primary practice location

100 Grand Paseo Blvd Ste 106-a
San Juan, PR 00926-5905

Mailing address

PO Box 367264
San Juan, PR 00936-7264
Phone (787) 755-4245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209003054 PR Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6002288529 Practice locations: San Juan, PR

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Grand Paseo Blvd
Ofc 106 a
San Juan, PR 00926-5905
Phone (787) 755-4245

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32437PRMDInternal Medicine Physician
33196PRMDStudent in an Organized Health Care Education/Training Program
33574PRMDStudent in an Organized Health Care Education/Training Program

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1235686601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367264",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009367264",
            "telephone_number": "787-755-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GRAND PASEO BLVD STE 106-A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009265905",
            "telephone_number": "787-755-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO LATORRE",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2023-01-12",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "33574",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "33196",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "32437",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "PR",
            "license": "22164",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "PR",
            "license": "22164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.