DR. GUSTAVO S RUIZ DE CASTILLA (NPI# 1417178211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417178211 |
Entity Type | Individual |
Full Name | DR. GUSTAVO S RUIZ DE CASTILLA |
Credential | D.M.D., M.M.SC. |
Practice Address |
4129 W Kennedy Blvd Suite 1 Tampa FL 33609-2254 |
Practice Telephone | 8132893640 |
Practice Fax Number | 8132862241 |
Mailing Telephone | 8132893640 |
Mailing Fax Number | 8132862241 |
Enumeration Date | 2007-05-01 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0300X |
Dentist Specialization: Periodontics |
DN 0012543 | FL | Dental Providers |
Street Address |
4129 W KENNEDY BLVD SUITE 1 |
City | TAMPA |
State | FL |
Zip Code | 33609-2254 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326594516 | Precision Dental Group LLC | Dentist | 4129 W Kennedy Blvd, Ste 1, Tampa, FL 33609-2254 | 2016-08-29 |
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 |
---|---|---|---|---|
1659816429 | Gustavo Ruiz De Castilla Dmd Pa | Dentist | 3814 W Azeele St, Tampa, FL 33609-3922 | 2017-01-03 |
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 |
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 |
Please comment or provide details below to improve the information on DR. GUSTAVO S RUIZ DE CASTILLA.
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.