Individual provider Active NPI

Adolfo M Alvarez Castillo, LDO

  • Optician
  • Doral, FL
National Provider Identifier
1003637653
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO7443 Issued in FL
Practice address
8651 NW 13TH Ter
Doral, FL 33126-1512
Phone
(305) 470-4550
Fax
(305) 470-4563
NPI assigned
Oct 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO7443 FL Primary

Addresses

Primary practice location

8651 NW 13TH Ter
Doral, FL 33126-1512

Mailing address

8651 NW 13TH Ter
Doral, FL 33126-1512
Phone (305) 470-4550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO7443FLMDOptician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1003637653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8651 NW 13TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261512",
            "telephone_number": "305-470-4550",
            "fax_number": "305-470-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8651 NW 13TH TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261512",
            "telephone_number": "305-470-4550",
            "fax_number": "305-470-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVAREZ CASTILLO",
        "first_name": "ADOLFO",
        "middle_name": "M",
        "credential": "LDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO7443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.