Active NPI
Flavio Castaneda
- Vascular & Interventional Radiology Physician
- Laredo, TX
National Provider Identifier
1073527016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- L9129
- Practice address
- 2005 E Bustamante St
Laredo, TX 78041-5470 - Phone
- (956) 337-2646
- Fax
- (956) 718-7197
- NPI assigned
- Jul 27, 2006
- Last updated
- Apr 6, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | L9129 | TX | |
| Neuroradiology Physician | 2085N0700X | L9129 | TX | |
| Nuclear Radiology Physician | 2085N0904X | L9129 | TX | |
| Pediatric Radiology Physician | 2085P0229X | L9129 | TX | |
| Radiation Oncology Physician | 2085R0001X | L9129 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | L9129 | TX | |
| Therapeutic Radiology Physician | 2085R0203X | L9129 | TX | |
| Vascular & Interventional Radiology Physician | 2085R0204X | L9129 | TX | Primary |
| Radiological Physics Physician | 2085R0205X | L9129 | TX | |
| Diagnostic Ultrasound Physician | 2085U0001X | L9129 | TX |
Addresses
Primary practice location
2005 E Bustamante St
Laredo, TX 78041-5470
Mailing address
306 Lake Kariba
Laredo, TX 78041-1959
Phone (956) 337-2646
Other names 1
- Dr. Flavio Castaneda
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L9129 | TX | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Radiological Associates, LTD. | Pediatric Radiology | Past | Accepting new patients |
| Medical Imaging Diagnostic Associates | Diagnostic Radiology | Past | Accepting new patients |
Interoperability endpoints
- flavio.castaneda.p43@direct.aac.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Alice, TX
- NPI 1609831379
-
dba Central Illinois Radiological Associates
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
Pediatric Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302048000000",
"number": "1073527016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 LAKE KARIBA",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411959",
"telephone_number": "956-337-2646",
"fax_number": "956-718-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 E BUSTAMANTE ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780415470",
"telephone_number": "956-337-2646",
"fax_number": "956-718-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANEDA",
"first_name": "FLAVIO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2011-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "TX",
"license": "L9129",
"primary": true
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "TX",
"license": "L9129",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "TX",
"license": "L9129",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FLAVIO",
"last_name": "CASTANEDA",
"prefix": "DR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.