Active NPI
Ivette Castillo, PHD
- Psychologist
- San Juan, PR
National Provider Identifier
1689727166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1328
- Practice address
- 576 Ave. Cesar Gonzalez
Suite 303
San Juan, PR 00918 - Phone
- (787) 250-7280
- Fax
- (787) 250-7285
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1328 | PR | Primary |
Addresses
Primary practice location
576 Ave. Cesar Gonzalez
Suite 303
San Juan, PR 00918
Mailing address
Cond Colinas de Bayamon
250 Carr.831 Apdo. 1005
Bayamon, PR 00956-4818
Phone (787) 995-2224
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1328 | PR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Victor Irizarry & Associates | Psychologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- San Juan, PR
- NPI 1114069150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689727166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COND COLINAS DE BAYAMON",
"address_2": "250 CARR.831 APDO. 1005",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009564818",
"telephone_number": "787-995-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "576 AVE. CESAR GONZALEZ",
"address_2": "SUITE 303",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "00918",
"telephone_number": "787-250-7280",
"fax_number": "787-250-7285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTILLO",
"first_name": "IVETTE",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.