Ma.Lourdes Castillo Gonzales,md,pc
NPI 1114263332ActiveOrganization· Specialist· Jamaica, NY
Specialist in Jamaica, New York, registered in NPPES in December 2012. The authorized official on file is Ma.Lourdes C. Gonzales, MD, Owner/Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114263332 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2012 |
| Last updated in NPPES | Dec 11, 2024 |
| Certified by provider | Dec 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 243713 | NY |
| Psychiatric Residential Treatment Facility | 323P00000X | 243713 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Specialist providers in Jamaica
- 1649473471
- 1609897834
- 1629114723
- 1972675601
- 1659936276
- 1548299910
- 1699980797
- 1710915418
- 1598696148
- 1275684458
- 1679903413
- 1760850994