Jose Castillo, MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD031465L Issued in PA

Legal business name

JOSE CASTILLO, MD PC

Practice address

228 S 22ND St
Philadelphia, PA 19103-5520

Phone

(215) 567-5846

NPI assigned

May 24, 2007

Last updated

Aug 10, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jose Castillo, M.D.

Title

Physician

Phone

(215) 567-5846

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1356552368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 S 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035520",
            "telephone_number": "215-567-5846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 S 22ND ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191035520",
            "telephone_number": "215-567-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE CASTILLO, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "215-567-5846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD031465L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.