Individual provider Active NPI

Sigifredo Minino-Castillo, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Ponce, PR
National Provider Identifier
1285622787
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
3755 Issued in PR
Practice address
909 Ave Tito Castro
Hospital San Lucas Dept Terapia Fisica
Ponce, PR 00716-4728
Phone
(787) 844-1110
Fax
(787) 844-7288
NPI assigned
Oct 10, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 3755 PR Primary

Addresses

Primary practice location

909 Ave Tito Castro
Hospital San Lucas Dept Terapia Fisica
Ponce, PR 00716-4728

Mailing address

35260 Calle Clavellina
Urb Jacaranda
Ponce, PR 00730-1689
Phone (787) 844-1110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3755PRMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1285622787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35260 CALLE CLAVELLINA",
            "address_2": "URB JACARANDA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007301689",
            "telephone_number": "787-844-1110",
            "fax_number": "787-844-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 AVE TITO CASTRO",
            "address_2": "HOSPITAL SAN LUCAS DEPT TERAPIA FISICA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007164728",
            "telephone_number": "787-844-1110",
            "fax_number": "787-844-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MININO-CASTILLO",
        "first_name": "SIGIFREDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PR",
            "license": "3755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; 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.