Provider Demographics
NPI:1619860087
Name:CASTILLO, CARMEN ELENA (BSN)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:ELENA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:H9 CALLE SANTA RITA
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725-3449
Mailing Address - Country:US
Mailing Address - Phone:787-203-6374
Mailing Address - Fax:939-449-8727
Practice Address - Street 1:H9 CALLE SANTA RITA
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725-3449
Practice Address - Country:US
Practice Address - Phone:787-203-6374
Practice Address - Fax:939-449-8727
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR86683163W00000X
372600000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No372600000XNursing Service Related ProvidersAdult Companion
No376K00000XNursing Service Related ProvidersNurse's Aide