Active NPI
Christian Castillo Latorre, M.D
- Critical Care Medicine (Internal Medicine) Physician
- San Juan, PR
National Provider Identifier
1235686601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- 22164
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230209003054 | PR | Practitioner - Pulmonary Disease | 6002288529 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 32437 | PR | MD | Internal Medicine Physician |
| 33196 | PR | MD | Student in an Organized Health Care Education/Training Program |
| 33574 | PR | MD | Student 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.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1265493001
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.