Provider Demographics
NPI:1134010879
Name:CASTRO, MARIA FIDELIA
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:FIDELIA
Last Name:CASTRO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:542 WOODBURY AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-7868
Mailing Address - Country:US
Mailing Address - Phone:513-253-1241
Mailing Address - Fax:
Practice Address - Street 1:542 WOODBURY AVE APT 3
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-7868
Practice Address - Country:US
Practice Address - Phone:513-253-1241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-11
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health