Pedro Castro

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEDRO CASTRO

Practice address

221 S Abe St
San Angelo, TX 76903-6305

Phone

(325) 659-6957

NPI assigned

Nov 2, 2018

Organization subpart

Yes

Parent organization

OPTIMAL WELLNESS AND LASER SOLUTIONAs reported in NPPES

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

Authorized official

Name

Pedro Castro, DONPI 1700862166

Title

Medical Provider

Phone

(325) 659-6957

Specialties & licenses 1

Addresses

Other names 1

• Optimal Wellness and Laser Solution Doing business as

Part of

Pedro Castro

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pedro Castro, DO

  • General Practice Physician
  • Eden, TX
  • NPI 1700862166
  NPD (past) Authorized official
• Sue R Brundrett, NP-C

  • Family Nurse Practitioner
  • San Angelo, TX
  • NPI 1659663805
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1073081584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S ABE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036305",
            "telephone_number": "325-659-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 S ABE ST",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769036305",
            "telephone_number": "325-659-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDRO CASTRO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTIMAL WELLNESS AND LASER SOLUTION",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "PEDRO",
        "authorized_official_title_or_position": "MEDICAL PROVIDER",
        "authorized_official_telephone_number": "325-659-6957",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Wellness and Laser Solution",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PD Suppliers of Texas
• Heather Peaden
• Peak Aesthetics and Wellness PLLC
• Leandra Monae Pecina, LPC
• Pecos Street Pharmacy, Inc.
• Erika Diane Peiser, PTA
• Jasmine Jae Pena
• Elizabeth Ann Penkert, EIS-FQP
• Lorena Del Milagro Perez Povis, MD
• Ana Isabel Perez, EIS-FQP

• Family Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.