Individual provider Active NPI

Flavio Castaneda

  • Vascular & Interventional Radiology Physician
  • Laredo, TX
National Provider Identifier
1073527016
Registry record updated Apr 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
L9129 Issued in TX
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, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2011

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
L9129TXMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Radiological Associates, LTD. Pediatric Radiology PastSince Aug 17, 2015 Accepting new patients
Medical Imaging Diagnostic Associates Diagnostic Radiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.