Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

MA Lourdes Castillo Gonzales, MD, PC

Organization Specialist · NPI 1114263332

MA Lourdes Castillo Gonzales, MD, PC provides Specialist services 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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