Organization Active NPI

Castillo Medical Services, Inc

  • Durable Medical Equipment & Medical Supplies
  • Virginia Gardens, FL
National Provider Identifier
1083797989
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
HME 2231 Issued in FL
Legal business name
CASTILLO MEDICAL SERVICES, INC
Practice address
6355 NW 36TH St
Suite 502a
Virginia Gardens, FL 33166-7027
Phone
(305) 871-8076
Fax
(305) 871-8077
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Authorized official

Name
Yureilis P Carrasco
Title
President
Phone
(305) 871-8076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X HME 2231 FL Primary

Addresses

Primary practice location

6355 NW 36TH St
Suite 502a
Virginia Gardens, FL 33166-7027

Mailing address

6355 NW 36TH St
Suite 502a
Virginia Gardens, FL 33166-7027
Phone (305) 871-8076

Other identifiers 2

IdentifierTypeStateIssuer
32: 04157OtherFLOXYGENT LICENSE
LIC 2231OtherFLACHA HME LICENSE

National Provider Directory

National Provider Directory

Locations

6355 NW 36th St
Ste 502A
Virginia Gardens, FL 33166
Phone (305) 871-8076

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213228800000",
    "number": "1083797989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "SUITE 502A",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667027",
            "telephone_number": "305-871-8076",
            "fax_number": "305-871-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 NW 36TH ST",
            "address_2": "SUITE 502A",
            "city": "VIRGINIA GARDENS",
            "state": "FL",
            "postal_code": "331667027",
            "telephone_number": "305-871-8076",
            "fax_number": "305-871-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLO MEDICAL SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-12",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "YUREILIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-871-8076"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME 2231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXYGENT LICENSE",
            "identifier": "32: 04157",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHA HME LICENSE",
            "identifier": "LIC 2231",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2008; 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.