Castor Primary Care LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CASTOR PRIMARY CARE LLC

Practice address

6044 Castor Ave
Suite 101
Philadelphia, PA 19149-3205

Phone

(215) 535-5616

Fax

(215) 535-5618

NPI assigned

Jun 23, 2009

Organization subpart

No

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

Authorized official

Name

Mr. David Ralic

Title

Officer

Phone

(215) 535-5616

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1902034465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6044 CASTOR AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191493205",
            "telephone_number": "215-535-5616",
            "fax_number": "215-535-5618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6044 CASTOR AVE",
            "address_2": "SUITE 101",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191493205",
            "telephone_number": "215-535-5616",
            "fax_number": "215-535-5618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTOR PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "RALIC",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "215-535-5616",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009718",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Castor Dental Care LLC
• Castor Eye Care Center, LLC
• Castor Eye Care Center, LLC
• Castor Pediatrics PC
• Castor Pharmacy & Surgical Supplies LLC
• Juliana Castrillon, MD
• Alberto Andres Castro Bigalli, MD
• Geraldo Castro-Betances, MD
• Adriana Castro-Convers, PHD
• Luis Horacio Castro-Figueroa, M.D

• Primary Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Primary Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; 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.