Casillas, Victor J
Casillas, Victor J is an individual health care provider with primary practice located at 1611 Nw 12Th Ave Box 016960 (M851), Miami FL 33136-1005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Casillas, Victor J can be contacted via phone (305) 243-6358.Contact Information
Primary practice address
1611 Nw 12Th Ave Box 016960 (M851)
Miami FL 33136-1005
Phone: (305) 243-6358
Fax: (305) 243-8470
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME60244 | Florida |
Profile Details
| NPI number | 1285667386 |
|---|---|
| LBN Legal business name | Casillas, Victor J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 9th, 2006 |
| Last updated | Apr 24th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285667386 | NPPES |
| Florida | MEDICAID | 0573086-00 |
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