| Castellana Physician Services, Llc | |
|
Centro Internacional De Mercadeo Torre Ii Ofic 505 Guaynabo PR 00927 | |
| (787) 282-6990 | |
| (787) 520-6060 |
| Full Name | Castellana Physician Services, Llc |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | Centro Internacional De Mercadeo Torre Ii Ofic 505, Guaynabo, Puerto Rico |
| Authorized Official Name and Position | Raul F Montalvo (PRESIDENT) |
| Authorized Official Contact | 7876223000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Castellana Physician Services, Llc Po Box 71500 San Juan PR 00936-8600 Ph: () - | Castellana Physician Services, Llc Centro Internacional De Mercadeo Torre Ii Ofic 505 Guaynabo PR 00927 Ph: (787) 282-6990 |
| NPI Number | 1114477999 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114477999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 302R00000X | Health Maintenance Organization | (* (Not Available)) | Primary |
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