Individual provider · Type 1 NPI

Jose Alfredo Castillo Jr.

Student in an Organized Health Care Education/Training Program · Minneapolis, MN

NPI number 1982453114 Active

Practice location

2211 Riverside Avenue, Campus Box 149
Minneapolis, MN 55454-1350

Call (612) 330-1388 Map

Fax (612) 330-1757

Mailing address

3023 Queen Ave N Apt 2
Minneapolis, MN 55411-1060

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1982453114

Jose Alfredo Castillo Jr.'s National Provider Identifier is 1982453114, issued on May 20, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Minneapolis, MN. The record was last updated on May 20, 2024.