Individual provider Active NPI

Lazaro Luis Castillo, MD

  • Allergy & Immunology Physician
  • Cape Coral, FL
National Provider Identifier
1043200470
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
ME74018 Issued in FL
Practice address
3208 Chiquita Blvd S Ste 110
Cape Coral, FL 33914-4267
Phone
(239) 549-1398
Fax
(239) 542-7881
NPI assigned
Oct 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X ME74018 FL Primary

Addresses

Primary practice location

3208 Chiquita Blvd S Ste 110
Cape Coral, FL 33914-4267

Mailing address

3208 Chiquita Blvd S Ste 110
Cape Coral, FL 33914-4267
Phone (239) 677-6399

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000053 FL Practitioner - Allergy/Immunology 9537122833 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Care Centre PA Allergy & Immunology CurrentSince Aug 5, 1999 Accepting new patients
Allervie Health Professional Corporation Allergy & Immunology Past Accepting new patients

Locations

4017 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 549-1398

3208 Chiquita Blvd S
Ste 110
Cape Coral, FL 33914
Phone (239) 549-1398

8461 Cypress Lake Dr
Fort Myers, FL 33919
Phone (239) 489-1398

Interoperability endpoints

  • Direct secure messaging: castillo.lassaro.007.0090427@avh.meditab.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: castillo.lassaro.009.0090427@avh.meditab.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1043200470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3208 CHIQUITA BLVD S STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144267",
            "telephone_number": "239-677-6399",
            "fax_number": "239-542-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 CHIQUITA BLVD S STE 110",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339144267",
            "telephone_number": "239-549-1398",
            "fax_number": "239-542-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO",
        "first_name": "LAZARO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME74018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

Verify at the official NPI Registry.