Sofia Marie Castillo-Fuentes, RN, CLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

818520 Issued in TX

Practice address

112 County Road 134
Alice, TX 78332-7709

Phone

(361) 389-3447

NPI assigned

Jan 5, 2017

Last updated

Jan 5, 2017By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1346785946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 COUNTY ROAD 134",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783327709",
            "telephone_number": "361-389-3447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 COUNTY ROAD 134",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783327709",
            "telephone_number": "361-389-3447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO-FUENTES",
        "first_name": "SOFIA",
        "middle_name": "MARIE",
        "credential": "RN, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "TX",
            "license": "818520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Carter
• Clarisa Casas, MS, CCC-SLP
• Dora Leticia Casas
• Paula F Casas
• Mary Alice Casillas, COTA
• Gabriella Marie Castillo, BS
• Luis Castillo, RN BS
• Miguel Armando Castro, PHYSICAL THERAPIST
• Arturo Cedillo, LAT
• Victoria Chapa Serna, OTR

• Lactation Consultant (Registered Nurse) in Alice, TX
• Providers in Alice, TX by specialty
• Lactation Consultant (Registered Nurse) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; 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.