Individual provider Active NPI

Jessie V Castillo

  • Student in an Organized Health Care Education/Training Program
  • Caguas, PR
National Provider Identifier
1639858632
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
16759-Y Issued in PR
Practice address
A9 Calle San Ignacio
Caguas, PR 00725-7600
Phone
(787) 604-6150
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 390200000X 16759-Y PR Primary

Addresses

Primary practice location

A9 Calle San Ignacio
Caguas, PR 00725-7600

Mailing address

A9 Calle San Ignacio
Caguas, PR 00725-7600
Phone (787) 604-6150

Other practice location 1

Urb san pedro estates calle san ignacio A-9
Caguas, PR 00725-7600
Phone (787) 604-6150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16759-YPRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1639858632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "A9 CALLE SAN IGNACIO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257600",
            "telephone_number": "787-604-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "A9 CALLE SAN IGNACIO",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007257600",
            "telephone_number": "787-604-6150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Urb san pedro estates calle san ignacio A-9",
            "address_purpose": "LOCATION",
            "city": "Caguas",
            "state": "PR",
            "postal_code": "007257600",
            "country_code": "US",
            "telephone_number": "787-604-6150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "JESSIE",
        "middle_name": "V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "16759-Y",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caguas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.