Rafael Eduardo Castillo, is a
Specialist/technologist, Other - Surgical Assistant based in Boulder, Colorado. Rafael Eduardo Castillo is licensed to practice in Colorado (license number 18107) and his current practice location is
6200 Habitat Dr Apt 2052, Boulder, Colorado. He can be reached at his office (for appointments etc.) via phone at
(720) 281-6378.
NPI number for Rafael Eduardo Castillo is 1225533136 and his current mailing address is 6200 Habitat Dr Apt 2052, Boulder, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225533136.
Provider's Profile
| Full Name | Rafael Eduardo Castillo |
|---|
| Gender | Male |
|---|
| Speciality | Specialist/technologist, Other - Surgical Assistant |
|---|
| Location | 6200 Habitat Dr Apt 2052, Boulder, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1225533136
- Provider Enumeration Date: 03/25/2018
- Last Update Date: 03/25/2018
Medical Identifiers
Medical identifiers for Rafael Eduardo Castillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225533136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | (Colorado) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | (NU) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | (NU) | Secondary |
| 246ZC0007X | Specialist/technologist, Other - Surgical Assistant | 18107 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Rafael Eduardo Castillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Rafael Eduardo Castillo,
6200 Habitat Dr Apt 2052,
Boulder, CO 80301-3235
Ph: (720) 281-6378 | Rafael Eduardo Castillo,
6200 Habitat Dr Apt 2052,
Boulder, CO 80301-3235
Ph: (720) 281-6378 |
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