Nicolas Rodolfo Sanhueza Castillo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

71996 Issued in WI

Practice address

731 Clay St
Darlington, WI 53530-1225

Phone

(608) 776-4497

Fax

(608) 776-2837

NPI assigned

Apr 13, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1770017048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301225",
            "telephone_number": "608-776-4497",
            "fax_number": "608-776-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 CLAY ST",
            "city": "DARLINGTON",
            "state": "WI",
            "postal_code": "535301225",
            "telephone_number": "608-776-4497",
            "fax_number": "608-776-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANHUEZA CASTILLO",
        "first_name": "NICOLAS",
        "middle_name": "RODOLFO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2021-06-02",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "71996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100094497",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Southwest Health Center, Inc.

• Family Medicine Physician in Darlington, WI
• Providers in Darlington, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2021; 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.