Provider Demographics
NPI:1700440575
Name:CASTILLO RIOS, XOCHITL (MD)
Entity type:Individual
Prefix:DR
First Name:XOCHITL
Middle Name:
Last Name:CASTILLO RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6540 ISLA DEL REY DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-7340
Mailing Address - Country:US
Mailing Address - Phone:864-787-7564
Mailing Address - Fax:
Practice Address - Street 1:5400 ALAMEDA AVE BLDG B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2914
Practice Address - Country:US
Practice Address - Phone:915-242-8402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-27
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXV03612080P0210X
TXBP10081540390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0210XAllopathic & Osteopathic PhysiciansPediatricsPediatric Nephrology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program