Castellana Physician Services LLC
Health Maintenance Organization in Guaynabo, PR. Organization (NPI-2).
NPI number1114477999
StatusActive
Last updated in NPPESJun 24, 2026
Details
- NPI
- 1114477999
- Entity type
- Organization (NPI-2)
- Legal business name
- Castellana Physician Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2016
- Certification date
- Jun 24, 2026
- Last updated
- Jun 24, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | – | – | Yes |
| 251V00000X | Voluntary or Charitable | – | – | |
| 261Q00000X | Clinic/Center | – | – |
Practice location
Centro Internacional De Mercadeo Torre II Ofic 505Guaynabo, PR 00927
Phone 787-282-6990 · Fax 787-520-6060
Mailing address
Po Box 71500San Juan, PR 00936-8600
Authorized official
Raul F Montalvo
President
7876223000
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