OrganizationAna Leticia Castelo GonzalezDentistDental ProvidersPractice AddressIndependencia 1511-2, Tijuana, Baja California 22010 (Mexico)(619) 272-9021PECOS EnrollmentBased on the most recent information from CMS, provider Ana Leticia Castelo Gonzalez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1831912575Provider TypeOrganizationFull NameAna Leticia Castelo GonzalezSubpartNoEnumeration Date11/1/2024Last Updated11/1/2024Contact InformationPractice LocationPractice AddressIndependencia 1511-2, Tijuana, Baja California 22010 (Mexico)Phone(619) 272-9021FaxUnlisted FaxMailing LocationMailing Address650 E San Ysidro Blvd # 103-8, San Ysidro, CA 92173-3133Phone(619) 272-9021FaxUnlisted FaxAuthorized OfficialNameCastelo Gonzalez, Ana Leticia (Dentist)Phone(619) 272-9021Provider TaxonomiesCodeDescriptionLicenseCode1223G0001XPrimaryDescriptionDentistDental ProvidersLicenseUnlisted IssuerCode1223X0400XDescriptionDentistDental ProvidersLicenseUnlisted Issuer