Michelle Castillo

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4057 Issued in PR

Practice address

# 53 Calle Marginal
Vega Baja Lakes
Vega Baja, PR 00693

Phone

(787) 635-1718

NPI assigned

Jun 7, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1235798737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "# 53 CALLE MARGINAL",
            "address_2": "VEGA BAJA LAKES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-635-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "# 53 CALLE MARGINAL",
            "address_2": "VEGA BAJA LAKES",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-635-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-07",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "4057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yesenia Barbar Carvajal
• Erick Alberto Casanova, MD
• Magin Inocencio Casanova, MD
• Noemi Casanova, R.P.H.
• Sebastian A Castellano, THL
• Carylee Castro Colon, MD
• Yahaira Castro
• Centro de Diagnostico Y Tratamiento Vega Baja
• Centro de Medicina Familiar Y Geriatria
• Centro de Medicina Oncologica de Puerto Rico, CSP

• Speech-Language Pathologist in Vega Baja, PR
• Providers in Vega Baja, PR by specialty
• Speech-Language Pathologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.