DR. GUSTAVO S RUIZ DE CASTILLA


Address: 4129 W Kennedy Blvd, Suite 1, Tampa, FL 33609-2254
Phone: 8132893640

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
DN 0012543 FL Dental Providers

Office Location

Street Address 4129 W KENNEDY BLVD
SUITE 1
City TAMPA
State FL
Zip Code 33609-2254

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326594516 Precision Dental Group LLC Dentist 4129 W Kennedy Blvd, Ste 1, Tampa, FL 33609-2254 2016-08-29

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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
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City TAMPA
Zip Code 33609

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Dataset Information

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.

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