Individual provider Active NPI

Maria Isabel Granadillo Castellon, MD

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1265068159
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME163492 Issued in FL
Practice address
13707 SW 152ND St
Miami, FL 33177-1106
Phone
(305) 585-9200
NPI assigned
Mar 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME163492 FL Primary

Addresses

Primary practice location

13707 SW 152ND St
Miami, FL 33177-1106

Mailing address

13707 SW 152ND St
Miami, FL 33177-1106

Other practice location 1

330 SW 27th Ave Ste 506
Miami, FL 33135-2967
Phone (786) 534-8535

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230831004352 FL Practitioner - Family Practice 5496178360 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County Florida 469 clinicians
Public Health Trust of Miami Dade County Florida 56 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

18910 S Dixie Hwy
Uhealth Jackson Urgent Care Cutler Bay
Cutler Bay, FL 33157-7711
Phone (305) 585-9230

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125.075790ILMDFamily Medicine Physician
125075790ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida Current Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 14, 2023 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 13, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Jan 13, 2025 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Aug 14, 2023 Accepting new patients

Locations

18910 S Dixie Hwy
Cutler Bay, FL 33157
Phone (305) 585-9230

13707 SW 152nd St
Miami, FL 33177
Phone (305) 585-9200

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1265068159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13707 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13707 SW 152ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331771106",
            "telephone_number": "305-585-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 SW 27th Ave Ste 506",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331352967",
            "country_code": "US",
            "telephone_number": "786-534-8535",
            "fax_number": "786-558-5954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANADILLO CASTELLON",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-23",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME163492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.