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DR. JOSE ADENAUER CASTIBLANCO DPM NPI 1356654529


NPI Information

NPI: 1356654529
Provider Name: DR. JOSE ADENAUER CASTIBLANCO, DPM
Classification: Podiatrist - 213E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
94 CONNECTICUT BLVD
EAST HARTFORD, CT
ZIP 06108
Phone: (860) 528-1359
Get Directions

DR. Jose Adenauer Castiblanco, DPM is a podiatrist in East Hartford, CT with 16 years of experience. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. DR. Jose Adenauer Castiblanco, DPM NPI is 1356654529. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: NEW YORK COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2008

The provider's business location address is:

94 CONNECTICUT BLVD
EAST HARTFORD, CT
ZIP 06108-013
Phone: (860) 528-1359
Fax: (860) 528-5180

The NPI 1356654529 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).

The enumeration date for this NPI number is 7/16/2010 and was last updated on 10/13/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle Surgery25MD00320800NEW JERSEYNo
2213ES0103XPodiatristFoot & Ankle Surgery006624NEW YORKNo
3213E00000XPodiatrist000930CONNECTICUTYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.