Sandra Castillo
Individual provider Active NPI Dentist · Sunny Isles Beach, FL
NPI 1245636133 · NPPES record last updated Nov 5, 2014
Key facts
- NPI
- 1245636133
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DN20757 (FL)
- Practice address
- 17103 N Bay Rd
Apt A208
Sunny Isles Beach, FL 33160-3981 - Phone
- (305) 949-5252
- Fax
- (305) 949-5011
- NPI assigned
- Nov 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN20757 | FL | MD | Dentist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Soto & Castillo Dental Care | Current | Accepting new patients |
Locations
3911 Hollywood Blvd
Ste 102
Hollywood, FL 33021
Phone (954) 987-3344
Networks
- Freedom Health HMO Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN20757 | FL | Yes |
Addresses
Primary practice location
17103 N Bay Rd
Apt A208
Sunny Isles Beach, FL 33160-3981
Mailing address
17103 N Bay Rd
Apt A208
Sunny Isles Beach, FL 33160-3981
Phone (305) 949-5252
Other providers in Sunny Isles Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.