GUSTAVO RUIZ DE CASTILLA DMD PA (NPI# 1659816429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659816429 |
| Entity Type | Organization |
| Organization Name | GUSTAVO RUIZ DE CASTILLA DMD PA |
| Other Organization Name | PERIODONTAL & IMPLANT ESTHETICS |
| Practice Address |
3814 W Azeele St Tampa FL 33609-3922 |
| Practice Telephone | 8132893640 |
| Practice Fax Number | 8138720170 |
| Mailing Telephone | 8132893640 |
| Mailing Fax Number | 8138720170 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | DR. GUSTAVO RUIZ DE CASTILLA (DOCTOR) |
| Authorized Official Telephone | 8132893640 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Periodontal & Implant Esthetics | Doing Business As Name - Organization |
| Street Address |
3814 W AZEELE ST |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-3922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700281201 | Dalton Periodontal, LLC | Dentist | 4511 W Gandy Blvd, Tampa, FL 33611-3303 | 2014-10-27 |
| 1013335736 | Camille Medina Cintron | Dentist | 1741 W Fletcher Ave, Tampa, FL 33612-1820 | 2014-03-31 |
| 1023280781 | James Claude Page Jr. | Dentist | 39 Davis Blvd, Suite A, Tampa, FL 33606-3467 | 2008-04-01 |
| 1417178211 | Gustavo S Ruiz De Castilla | Dentist | 4129 W Kennedy Blvd, Suite 1, Tampa, FL 33609-2254 | 2007-05-01 |
| 1023148244 | Jan K Cornelius | Dentist | 2401 S Dale Mabry Hwy, Tampa, FL 33629-6845 | 2007-03-06 |
| 1326188384 | Maria Carmen Torres | Dentist | 4244 W Linebaugh Ave, Tampa, FL 33624-5241 | 2007-02-07 |
| 1710033774 | Patrick Todd Johnson | Dentist | 5111 Ehrlich Rd, Suite150, Tampa, FL 33624-2075 | 2007-01-25 |
| 1457410946 | T Merrell Williams, Dmd, Ms, Pa | Dentist | 4505 N Armenia Ave Ste 101, Tampa, FL 33603-2746 | 2006-12-08 |
| 1427131028 | Mark Allen Abdoney II | Dentist | 2714 W Azeele St, Tampa, FL 33609-4108 | 2006-10-24 |
| 1952417503 | Brian Todd Vanaelst | Dentist | 4444 E Fletcher Ave Ste A, Tampa, FL 33613-4905 | 2006-08-23 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.