Basic Information
| Provider Information | |||||||||
| NPI: | 1972550259 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CASTRESANA | ||||||||
| FirstName: | JOSUE | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | URB MANS DE MONTE VERDE #147 | ||||||||
| Address2: | |||||||||
| City: | CAYEY | ||||||||
| State: | PR | ||||||||
| PostalCode: | 007364154 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7872636007 | ||||||||
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| Practice Location | |||||||||
| Address1: | EDIFICIO PROFESIONAL HOSPITAL MENONITA | ||||||||
| Address2: | |||||||||
| City: | CAYEY | ||||||||
| State: | PR | ||||||||
| PostalCode: | 00737 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7875351001 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2006 | ||||||||
| LastUpdateDate: | 02/08/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 9918 | PR | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.