Ithamar Castro, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2239 Issued in PR

Practice address

107 Ave. Ortegon
Caparra Gallery BLD. Ste. 202
Guaynabo, PR 00966-2517

Phone

(787) 783-6698

Fax

(787) 793-3105

NPI assigned

Jan 10, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ithamar Castro Pierluissi Dental LLC

  • Dental Clinic/Center
  • Guaynabo, PR
  • NPI 1356136261
  NPD Authorized official
• Optimum Dental Care, CSP

  • Pediatric Dentistry
  • Guaynabo, PR
  • NPI 1285878587
  NPD (past) Authorized official

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743811200000",
    "number": "1447309273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 AVE ORTEGON",
            "address_2": "CAPARRA GALLERY BLD SUITE 202",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662517",
            "telephone_number": "787-783-6698",
            "fax_number": "787-793-3105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 AVE. ORTEGON",
            "address_2": "CAPARRA GALLERY BLD. STE. 202",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009662517",
            "telephone_number": "787-783-6698",
            "fax_number": "787-793-3105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "ITHAMAR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2025-04-05",
        "certification_date": "2025-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PR",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "2048340",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "1447309273",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE-S",
            "identifier": "42159",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Juan J Castro Negron, 0146B
• Teresa Castro Ponce
• Nelly Castro Ramirez
• Ernesto Castro Rosa
• Luis A Castro Velez, MD
• Sylvia Castro
• Yarma Arelis Castro
• Iris Waleska Catala-Torres, PSY.D.,MS.,MRC
• Cavery Services, LLC
• Cbinstitute LLC

• Pediatric Dentistry in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Pediatric Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.