Jose Julian Castro Diaz

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

7067 Issued in PR

Practice address

Edificion Professional, 301 Hospital Memomita
Calle Jose Sabastian
Aibonito, PR 00705-2056

Phone

(787) 735-7500

Fax

(787) 735-7500

NPI assigned

Jul 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1609875335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2056",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052056",
            "telephone_number": "787-735-7500",
            "fax_number": "787-735-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICION PROFESSIONAL, 301 HOSPITAL MEMOMITA",
            "address_2": "CALLE JOSE SABASTIAN",
            "city": "AIBONITO",
            "state": "PR",
            "postal_code": "007052056",
            "telephone_number": "787-735-7500",
            "fax_number": "787-735-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO DIAZ",
        "first_name": "JOSE",
        "middle_name": "JULIAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PR",
            "license": "7067",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "7067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SSS",
            "identifier": "2-8451CA",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PLAN DE SALUD MENONITA",
            "identifier": "M00324",
            "state": "PR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6090035",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE Y MUCHO MAS",
            "identifier": "601254",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edelmiro A Carrillo Rodriguez, MD
• Zaidibeth M Cartagena Rivera
• Natalia Cartagena-Gonzalez, PHARMD
• Keishla Cartagena
• Lina Cartagena, MA
• CCM Therapy Services LLC
• Central Drug Aibonito LLC
• Central Emergency Assistance Inc
• Centro Avanzado de Odontologia Estetica,CSP
• Centro de Cancer de la Montana

• All providers in Aibonito, PR
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; 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.