Diana Rachell Castillo Rivera, DO
Student in an Organized Health Care Education/Training Program in Flushing, NY. Individual provider (NPI-1).
NPI number1023802469
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1023802469
- Entity type
- Individual (NPI-1)
- Name
- Diana Rachell Castillo Rivera
- Credential
- DO
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 9, 2025
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
5645 Main StFlushing, NY 11355-5045
Phone 718-640-8135
Mailing address
5645 Main StFlushing, NY 11355-5045
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