Provider Demographics
NPI:1174548416
Name:CASTILLO, MARIA CHRISTINA (PT, MSRS)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:CHRISTINA
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:PT, MSRS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 GULF SHORE PL
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-1910
Mailing Address - Country:US
Mailing Address - Phone:361-855-7757
Mailing Address - Fax:
Practice Address - Street 1:610 GULF SHORE PL
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-1910
Practice Address - Country:US
Practice Address - Phone:361-855-7757
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1116929225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX65OtherSPECIALTY
TX00801WOtherGROUP NUMBER
TX5/27/1997OtherEFFECTIVE DATE
TX00801WOtherGROUP NUMBER