Dr. Daviel Rodriguez Castillo, MD
Student in an Organized Health Care Education/Training Program in Bronx, NY. Individual provider (NPI-1).
NPI number1235975855
StatusActive
Last updated in NPPESJul 3, 2024
Details
- NPI
- 1235975855
- Entity type
- Individual (NPI-1)
- Name
- Dr. Daviel Rodriguez Castillo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2024
- Certification date
- Jul 2, 2024
- Last updated
- Jul 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NY | Yes |
Practice location
1650 Grand ConcourseBronx, NY 10457-7679
Phone 718-590-1800
Mailing address
1427 Wythe Pl Apt 4eBronx, NY 10452-6940
Phone 917-217-9323
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