Augusto Alvarez-Castillo

Individual provider Active NPI General Practice Physician · Aguadilla, PR

NPI 1295853307 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1295853307
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
3496 (PR)
Practice address
Urb. Villa Haydee #13
Aguadilla, PR 00603
Phone
(787) 891-1758
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 3496 PR Yes

Addresses

Primary practice location

Urb. Villa Haydee #13
Aguadilla, PR 00603

Mailing address

Urb. Villa Haydee #13
Aguadilla, PR 00603
Phone (787) 891-1758

Other identifiers

IdentifierTypeStateIssuer
23933OtherPRTRIPLE S

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295853307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. VILLA HAYDEE #13",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. VILLA HAYDEE #13",
            "city": "AGUADILLA",
            "state": "PR",
            "postal_code": "00603",
            "telephone_number": "787-891-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ-CASTILLO",
        "first_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "3496",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "23933",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aguadilla, PR

All providers in Aguadilla, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.