Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | 17160 | PR |
N | 207VG0400X | Gynecologist | 18402 | AZ |
NPI | 1083610042 |
---|---|
Provider Name | Dr. William Henry Castro |
First Address | Caguas, PR 00726-0697 |
Second Address | Caguas, PR 00725-7301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 28/09/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
288747 | (05) | AZ |
E80446 | (02) | AZ |