Organization Active NPI

Castillo, Blachar & Brasac, M.D.,P.a.

  • Specialist
  • Miami Beach, FL
National Provider Identifier
1154378230
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CASTILLO, BLACHAR & BRASAC, M.D.,P.A.
Practice address
4302 Alton Road
Suite 580
Miami Beach, FL 33140
Phone
(305) 532-1989
Fax
(305) 532-8459
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mr. Melvin Eduardo Castillo, MD
Title
President
Phone
(305) 532-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4302 Alton Road
Suite 580
Miami Beach, FL 33140

Mailing address

4302 Alton Road
Suite 580
Miami Beach, FL 33140
Phone (305) 532-1989

Other identifiers 1

IdentifierTypeStateIssuer
374543100MedicaidFL

Other names 1

  • Doral Beach OB/GYN Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1154378230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON ROAD",
            "address_2": "SUITE 580",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-532-1989",
            "fax_number": "305-532-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON ROAD",
            "address_2": "SUITE 580",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "33140",
            "telephone_number": "305-532-1989",
            "fax_number": "305-532-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTILLO, BLACHAR & BRASAC, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-532-1989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "374543100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doral Beach OB/GYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.