Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MA Lourdes Castillo Gonzales, MD, PC

Organization Specialist · NPI 1114263332

MA Lourdes Castillo Gonzales, MD, PC is a Specialist in Jamaica, New York. Licensed in New York. Registered with an NPI since 2012.

Licensed in
NY
In the registry since
2012
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

17013 Hillside Ave
Jamaica, NY 11432-4546
Phone: (516) 472-1710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 243713 (NY)
Psychiatric Residential Treatment Facility Taxonomy 323P00000X · Licence 243713 (NY)

Record details

NPI number1114263332
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ma.Lourdes Gonzales — Owner/Medical Director · (516) 472-1710
NPI enumeratedDecember 14, 2012
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address94 Village Ave, Elmont, NY 11003-4236

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