Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | A39501 | CA |
NPI | 1033112644 |
---|---|
Provider Name | Dr. Ramon Torres Castaneda |
First Address | Beaver, PA 15009-2820 |
Second Address | Beaver, PA 15009-2820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2005 |
Last Update Date | 12/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00A395010 | (05) | CA |
B37346 | (02) | CA |