Provider Demographics
NPI:1679834162
Name:CASTILLO, RONAN LABRADOR (BSN RN)
Entity type:Individual
Prefix:
First Name:RONAN
Middle Name:LABRADOR
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 FRANCISCAN WAY
Mailing Address - Street 2:APARTMENT 203
Mailing Address - City:ALAMEDA
Mailing Address - State:CA
Mailing Address - Zip Code:94501-6187
Mailing Address - Country:US
Mailing Address - Phone:650-740-0569
Mailing Address - Fax:
Practice Address - Street 1:2000 FRANCISCAN WAY
Practice Address - Street 2:APARTMENT 203
Practice Address - City:ALAMEDA
Practice Address - State:CA
Practice Address - Zip Code:94501-6187
Practice Address - Country:US
Practice Address - Phone:650-740-0569
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-31
Last Update Date:2012-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion