Individual provider Active NPI

Marysol Castritius, DMD

  • Dentist
  • Camuy, PR
National Provider Identifier
1730417510
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2845 Issued in PR
Practice address
HC 3 Box 13209
Camuy, PR 00627-9726
Phone
(787) 560-1293
NPI assigned
Dec 7, 2009
Last updated
Dec 7, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2845 PR Primary

Addresses

Primary practice location

HC 3 Box 13209
Camuy, PR 00627-9726

Mailing address

HC 3 Box 13209
Camuy, PR 00627-9726
Phone (787) 560-1293

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150817000191 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4880909183

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2845PRMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260144000000",
    "number": "1730417510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 13209",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279726",
            "telephone_number": "787-560-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HC 3 BOX 13209",
            "city": "CAMUY",
            "state": "PR",
            "postal_code": "006279726",
            "telephone_number": "787-560-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTRITIUS",
        "first_name": "MARYSOL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2009-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camuy, PR

Sources for this page

Verify at the official NPI Registry.