Maria Lourdes Castellvi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1618 Issued in PR

Practice address

775 Calle Caoba
Centro Comercial Los Caobos Ste. 25
Ponce, PR 00716-2610

Phone

(787) 841-5111

Fax

(787) 841-5111

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1578521340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7215",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007327215",
            "telephone_number": "787-841-5111",
            "fax_number": "787-841-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 CALLE CAOBA",
            "address_2": "CENTRO COMERCIAL LOS CAOBOS STE. 25",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007162610",
            "telephone_number": "787-841-5111",
            "fax_number": "787-841-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTELLVI",
        "first_name": "MARIA",
        "middle_name": "LOURDES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA CRUZ AZUL DE PR",
            "identifier": "041251",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL CARD SYSTEM",
            "identifier": "61618",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "902454",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "41491",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "7160048",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sebastian Castaner
• Dariana Koraima Castano Torres
• Eleane Castano
• Joanlin Marie Castellar Rodriguez, RD
• Santiago Castellon
• Castillo Life Support Ambulance Corp
• Javier Antonio Castillo, M.D.
• Jimmy Castillo
• Rosa Castillo
• Jean C Castrero

• General Practice Dentistry in Ponce, PR
• Providers in Ponce, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.