Individual provider · NPI-1
Dr. Giovanni C Casillas, M.D.
Otolaryngology, Otology & Neurotology · Bayamon, PR
NPI number1265455216
StatusActive
Last updated in NPPESOct 29, 2010
Details
- NPI
- 1265455216
- Entity type
- Individual (NPI-1)
- Name
- Dr. Giovanni C Casillas
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2006
- Last updated
- Oct 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207YX0901X | Otolaryngology, Otology & Neurotology | 15272 | PR | Yes |
Practice location
Calle B, Esquina J # 16Edificio Medico Hermanas Davila, Oficina 210
Bayamon, PR 00959
Phone 787-780-5130 · Fax 787-200-4898
Mailing address
Calle B, Esquina J # 16Edificio Medico Hermanas Davila, Oficina 210
Bayamon, PR 00959
Phone 787-780-5130 · Fax 787-200-4898
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