Katiana Nicole Castillo-Camareno
Individual provider Active NPI Pharmacist · Ensenada, PR
NPI 1558020149 · NPPES record last updated Jan 15, 2025
Key facts
- NPI
- 1558020149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 6964 (PR)
- Practice address
- Calle Montalva #23
Ensenada, PR 00647 - Phone
- (787) 821-3377
- NPI assigned
- Dec 11, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6964 | PR | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Migrant Health Center Western Region, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6964 | PR | Yes |
Addresses
Primary practice location
Calle Montalva #23
Ensenada, PR 00647
Mailing address
PO Box 994
Boqueron, PR 00622-0994
Phone (787) 951-0880
Other providers in Ensenada, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.