DR. MAURICIO JOSE DE CASTRO MD NPI 1407083256

NPI Information

NPI: 1407083256
Provider Name: DR. MAURICIO JOSE DE CASTRO, MD
Classification: Medical Genetics - 207SG0201X
Entity Type: Individual

Specialization: Clinical Genetics (M.D.)

Organization: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

PECOS Registration: Yes

Address:
301 FISHER ST
ROOM GG 700
KEESLER AFB, MS
ZIP 39534
Phone: (228) 376-3389
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DR. Mauricio Jose De Castro, MD is a clinical genetics (m.d.) medical genetics in Keesler Afb, MS with 20 years of experience. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. DR. Mauricio Jose De Castro, MD NPI is 1407083256. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 FISHER ST
ROOM GG 700
KEESLER AFB, MS
ZIP 39534-508
Phone: (228) 376-3389

The NPI 1407083256 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2009 and was last updated on 4/18/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207SG0201X	Medical Genetics	Clinical Genetics (M.D.)	0101250567	VIRGINIA	Yes
2	207SG0203X	Medical Genetics	Clinical Molecular Genetics	0101250567	VIRGINIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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