MD Samir Castellon

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MD SAMIR CASTELLON

Practice address

1141 SW 10TH St Rear
Miami, FL 33130-3611

Phone

(305) 522-7217

Fax

(907) 313-1400

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Samir Alexander Castellon Castellon II, PHD, MDNPI 1831898030

Title

Owner/Ceo

Phone

(305) 522-7217

Specialties & licenses 1

Addresses

Other names 1

• SAMIR CASTELLON Former legal business name

Practitioners 1

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

• Samir Alexander Castellon Castellon II, PHD, MD

  • General Practice Physician
  • Miami, FL
  • NPI 1831898030
  NPD Authorized official

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1104525443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 SW 10TH ST REAR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303611",
            "telephone_number": "305-522-7217",
            "fax_number": "907-313-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 SW 10TH ST REAR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331303611",
            "telephone_number": "305-522-7217",
            "fax_number": "907-313-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD SAMIR CASTELLON",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "CASTELLON CASTELLON",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "305-522-7217",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD, MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMIR CASTELLON",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• General Practice Physician in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.