Provider Demographics
NPI:1174217921
Name:CASTILLO ARMAS, ANDREA CAROLINA (DMD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:CAROLINA
Last Name:CASTILLO ARMAS
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10869 LONGLEAF WOODS DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-3614
Mailing Address - Country:US
Mailing Address - Phone:954-610-5796
Mailing Address - Fax:
Practice Address - Street 1:12990 TANJA KING BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-7380
Practice Address - Country:US
Practice Address - Phone:689-206-5097
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-05
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN279411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice