Carla Vanessa Castro, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

18414 Issued in PR

Practice address

37 Bella Vista GDNS
Mayaguez, PR 00680-8316

Phone

(925) 234-4388

Fax

(925) 234-4388

NPI assigned

Apr 24, 2012

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 names 1

• Dr. Carla Vanessa Fuentes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1629336094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BELLA VISTA GDNS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006808316",
            "telephone_number": "925-234-4388",
            "fax_number": "925-234-4388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BELLA VISTA GDNS",
            "city": "MAYAGUEZ",
            "state": "PR",
            "postal_code": "006808316",
            "telephone_number": "925-234-4388",
            "fax_number": "925-234-4388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRO",
        "first_name": "CARLA",
        "middle_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "18414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLA",
            "last_name": "FUENTES",
            "middle_name": "VANESSA",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Oreste Castellanos, M.D.
• Elisa Maria Castillo, M.A.
• Lorna K Castillo, M.A. PSYCHOLOGY
• Elsie Castro Ramirez, NURSE ANESTHETIST
• Aiddie B Castro, PSYCHOLOGIST
• Denisse Castro
• Robert Castro, MD
• Nelly Ann Catala, M.D.
• CB Internal Medicine
• Francisco Carlos Cebollero, M.D.

• General Practice Physician in Mayaguez, PR
• Providers in Mayaguez, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.