Provider Demographics
NPI:1245284801
Name:SY, SILVIA CASTILLO (MD)
Entity type:Individual
Prefix:DR
First Name:SILVIA
Middle Name:CASTILLO
Last Name:SY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SILVIA
Other - Middle Name:KARINA
Other - Last Name:CASTILLO LUNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:910 S BRYAN RD STE 209
Mailing Address - Street 2:
Mailing Address - City:MISSION
Mailing Address - State:TX
Mailing Address - Zip Code:78572-6659
Mailing Address - Country:US
Mailing Address - Phone:956-424-1511
Mailing Address - Fax:956-424-3575
Practice Address - Street 1:910 S BRYAN RD STE 209
Practice Address - Street 2:
Practice Address - City:MISSION
Practice Address - State:TX
Practice Address - Zip Code:78572-6659
Practice Address - Country:US
Practice Address - Phone:956-424-1511
Practice Address - Fax:956-424-3575
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM1569207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1787905-02Medicaid
TX1787905-02Medicaid
TX8F22268Medicare PIN