Individual provider Active NPI

Cristina Marie Delcastillo

  • Speech-Language Pathologist
  • Doral, FL
National Provider Identifier
1083385470
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SZ10384 Issued in FL
Practice address
8491 NW 17TH St Ste 100
Doral, FL 33126-1025
Phone
(305) 456-5542
NPI assigned
Sep 24, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SZ10384 FL Primary

Addresses

Primary practice location

8491 NW 17TH St Ste 100
Doral, FL 33126-1025

Mailing address

8491 NW 17TH St Ste 100
Doral, FL 33126-1025

Other practice location 1

8257 SW 124th St
Pinecrest, FL 33156-5900
Phone (305) 456-5542

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SZ10384FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Kreative Kids Therapy Center Co Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1083385470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8491 NW 17TH ST STE 100",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331261025",
            "telephone_number": "305-456-5542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8257 SW 124th St",
            "address_purpose": "LOCATION",
            "city": "Pinecrest",
            "state": "FL",
            "postal_code": "331565900",
            "country_code": "US",
            "telephone_number": "305-456-5542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELCASTILLO",
        "first_name": "CRISTINA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ10384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; 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.