Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0117X | Orthopaedic Spine Surgeon | 053779 | CT |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 281001 | NY |
NPI | 1326375353 |
---|---|
Provider Name | Dr. Carlos A Castro |
First Address | Flushing, NY 11367-1310 |
Second Address | Minneapolis, MN 55404-4515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/11/2009 |
Last Update Date | 03/10/2016 |