| A. C. Ojascastro Inc. | |
|
4130 S Grand Blvd Ste A Saint Louis MO 63118-3420 | |
| (314) 353-2211 | |
| (314) 353-6122 |
| Full Name | A. C. Ojascastro Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4130 S Grand Blvd Ste A, Saint Louis, Missouri |
| Authorized Official Name and Position | Robert Ojascastro (BUSINESS MANAGER) |
| Authorized Official Contact | 3143532211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A. C. Ojascastro Inc. 4130 S Grand Blvd Ste A Saint Louis MO 63118-3420 Ph: (314) 353-2211 | A. C. Ojascastro Inc. 4130 S Grand Blvd Ste A Saint Louis MO 63118-3420 Ph: (314) 353-2211 |
| NPI Number | 1356476758 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5092844613 |
|---|---|
| Medicare Enrollment ID | O20100520000054 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356476758 | NPI | - | NPPES |
| 502434202 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Alejandro C Ojascastro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154437994 PECOS PAC ID: 1850420480 Enrollment ID: I20100520000140 |
| Provider Name | Victoria Marie Ojascastro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285742858 PECOS PAC ID: 6901094176 Enrollment ID: I20110103001037 |
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