Active NPI
Yeisel Castanedo, MD
- Family Medicine Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME152142
- Practice address
- 2131 S 17TH St
Wilmington, NC 28401-7407 - Phone
- (910) 667-7000
- NPI assigned
- Apr 3, 2018
- Last updated
- Oct 15, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 239050 | NC | |
| Family Medicine Physician | 207Q00000X | ME152142 | FL | Primary |
Addresses
Primary practice location
2131 S 17TH St
Wilmington, NC 28401-7407
Mailing address
14764 SW 70TH Ter
Miami, FL 33193-1027
Phone (786) 442-7575
Other practice location 1
2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409-6501
Phone (561) 688-5808
Other names 1
- Yeisel Alfonso
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300
3850 SW 87TH Ave
Suite 305
Miami, FL 33165-5474
Phone (786) 353-2915
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME152142 | FL | MD | Family Medicine Physician |
| 239050 | NC | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunshine Medical Wellness Center Corp | Family Medicine | Current | Accepting new patients |
| Criticare Clinics Inc | Current | Accepting new patients | |
| Rite Medical Care PC | Current | Accepting new patients | |
| Jyj Aprn Services, Corp | Current | Accepting new patients |
Locations
4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050
8756 SW 8th St
Miami, FL 33174
Phone (305) 554-4737
3850 SW 87th Ave
Ste 305
Miami, FL 33165
Phone (305) 608-0656
3850 SW 87th Ave
Ste 306
Miami, FL 33165
Phone (305) 608-0656
215 Lincoln Rd
Miami Beach, FL 33139
Phone (305) 614-6001
14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833
15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300
46 Main St
Ste 148
Monsey, NY 10952
Phone (917) 740-3853
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Miami Lakes, FL
- NPI 1508871948
-
- Family Medicine Physician
- Miami, FL
- NPI 1841939766
-
- General Practice Physician
- Miami, FL
- NPI 1437817723
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- South Miami, FL
- NPI 1982688230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634256000000",
"number": "1033615414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14764 SW 70TH TER",
"city": "MIAMI",
"state": "FL",
"postal_code": "331931027",
"telephone_number": "786-442-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2131 S 17TH ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017407",
"telephone_number": "910-667-7000"
}
],
"practiceLocations": [
{
"address_1": "2007 Palm Beach Lakes Blvd",
"address_purpose": "LOCATION",
"city": "West Palm Beach",
"state": "FL",
"postal_code": "334096501",
"country_code": "US",
"telephone_number": "561-688-5808",
"fax_number": "561-420-8560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASTANEDO",
"first_name": "YEISEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-03",
"last_updated": "2021-10-15",
"certification_date": "2021-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "239050",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME152142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YEISEL",
"last_name": "ALFONSO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.