Organization Active NPI

Josefina Perez-Castro, PA

  • Community/Behavioral Health Agency
  • Miami, FL
National Provider Identifier
1114243250
Registry record updated Apr 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW001315 Issued in FL
Legal business name
JOSEFINA PEREZ-CASTRO, PA
Practice address
5001 SW 74TH CT
Suite 105
Miami, FL 33155-4483
Phone
(305) 663-0013
Fax
(305) 663-8138
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2010

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

Authorized official

Name
Ms. Josefina Perez-Castro, LCSWNPI 1184739567
Title
President
Phone
(305) 663-0013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW001315 FL Primary

Addresses

Primary practice location

5001 SW 74TH CT
Suite 105
Miami, FL 33155-4483

Mailing address

5001 SW 74TH CT
Suite 105
Miami, FL 33155-4483
Phone (305) 663-0013

Other identifiers 1

IdentifierTypeStateIssuer
Z1827OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110103000051 FL Part B Supplier - Clinic/Group Practice 7517155815 Receives reassigned benefits from 1 practitioner
Practice locations: Florida City, FL; Marathon, FL; Miami, FL

National Provider Directory

National Provider Directory

Locations

1450 N Krome Ave
Ste 101F
Florida City, FL 33034

11400 Overseas Hwy
Ste 203
Marathon, FL 33050
Phone (305) 396-8100

3010 Overseas Hwy
Marathon, FL 33050

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271203200000",
    "number": "1114243250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554483",
            "telephone_number": "305-663-0013",
            "fax_number": "305-663-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SW 74TH CT",
            "address_2": "SUITE 105",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331554483",
            "telephone_number": "305-663-0013",
            "fax_number": "305-663-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEFINA PEREZ-CASTRO, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2010-04-14",
        "status": "A",
        "authorized_official_last_name": "PEREZ-CASTRO",
        "authorized_official_first_name": "JOSEFINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-663-0013",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "SW001315",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z1827",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.