Basic Information
| Provider Information | |||||||||
| NPI: | 1780047464 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CASTELLANOS DE BELLIARD | ||||||||
| FirstName: | YARITZA | ||||||||
| MiddleName: | ERNESTINA | ||||||||
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| Credential: | M.D | ||||||||
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| OtherLastName: | CASTELLANOS | ||||||||
| OtherFirstName: | YARITZA | ||||||||
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| OtherLastNameType: | 5 | ||||||||
| Mailing Information | |||||||||
| Address1: | 2113 PROSPECT AVE | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104573625 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6462071284 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 260 E 188TH ST | ||||||||
| Address2: | |||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 104585302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7182202020 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/31/2016 | ||||||||
| LastUpdateDate: | 07/11/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 312724 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | 208M00000X | 312724 | NY | N | Allopathic & Osteopathic Physicians | Hospitalist | 207R00000X | ME155382 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.