Gustavo Ruiz de Castilla DMD PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

GUSTAVO RUIZ DE CASTILLA DMD PA

Doing business as

Periodontal & Implant Esthetics

Practice address

3814 W Azeele St
Tampa, FL 33609-3922

Phone

(813) 289-3640

Fax

(813) 872-0170

NPI assigned

Jan 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Gustavo Ruiz de Castilla, DMDNPI 1417178211

Title

Doctor

Phone

(813) 289-3640

Specialties & licenses 1

Addresses

Other names 1

• Periodontal & Implant Esthetics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustavo S Ruiz de Castilla, D.M.D., M.M.SC.

  • Periodontics
  • Tampa, FL
  • NPI 1417178211
  NPD (past) Authorized official

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1659816429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093922",
            "telephone_number": "813-289-3640",
            "fax_number": "813-872-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336093922",
            "telephone_number": "813-289-3640",
            "fax_number": "813-872-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUSTAVO RUIZ DE CASTILLA DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "RUIZ DE CASTILLA",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "813-289-3640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Periodontal & Implant Esthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gurley Dental Group PL
• Michael A Gust, PHARMD
• Eileen Gustafson, LCSW
• Vaiva Gustainyte, DO
• Jeseeka Gustave
• Jamie Gustin
• Lawrence Michael Gustin, M.D.
• Carol Gutcher, M.S., CCC-SLP
• Glenn Guterman
• Adina Beth Gutfreund, MS CCCSLP

• Periodontics in Tampa, FL
• Providers in Tampa, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.