| Gregorio Joel Castillo, M.d. P.a. | |
|
10501 Vista Del Sol Dr Suite 200 El Paso TX 79925-7940 | |
| (915) 592-8880 | |
| (915) 592-8883 |
| Full Name | Gregorio Joel Castillo, M.d. P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 10501 Vista Del Sol Dr, El Paso, Texas |
| Authorized Official Name and Position | Gregorio Joel Asuncion Castillo (PRESIDENT) |
| Authorized Official Contact | 9155928880 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregorio Joel Castillo, M.d. P.a. 10501 Vista Del Sol Dr Suite 200 El Paso TX 79925-7940 Ph: (915) 592-8880 | Gregorio Joel Castillo, M.d. P.a. 10501 Vista Del Sol Dr Suite 200 El Paso TX 79925-7940 Ph: (915) 592-8880 |
| NPI Number | 1356524490 |
|---|---|
| Provider Enumeration Date | 12/12/2007 |
| Last Update Date | 01/14/2008 |
| Medicare PECOS PAC ID | 4789652868 |
|---|---|
| Medicare Enrollment ID | O20040917000492 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356524490 | NPI | - | NPPES |
| 1684649-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | J8950 (Texas) | Primary |
| Provider Name | Gregorio Joel A Castillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184695488 PECOS PAC ID: 0042288128 Enrollment ID: I20040917000519 |
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