Organization Active NPI

Adrian de Castro-Quiros, M.D., PLLC

  • Psychiatry Physician
  • Miami, FL
National Provider Identifier
1295248086
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME133996 Issued in FL
Legal business name
ADRIAN DE CASTRO-QUIROS, M.D., PLLC
Practice address
11760 Bird Rd Ste 539
Miami, FL 33175-8100
Phone
(305) 228-6200
NPI assigned
Nov 15, 2017
Last updated
Mar 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Authorized official

Name
Dr. Adrian De Castro-Quiros, MDNPI 1144614660
Title
Ambr
Phone
(305) 228-6200

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
Psychiatry Physician 2084P0800X ME133996 FL Primary

Addresses

Primary practice location

11760 Bird Rd Ste 539
Miami, FL 33175-8100

Mailing address

602 W 17TH St
Hialeah, FL 33010-2415

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181214000554 FL Part B Supplier - Clinic/Group Practice 0840535167 Receives reassigned benefits from 2 practitioners
Practice locations: Miami, FL; Plantation, FL

National Provider Directory

National Provider Directory

Locations

930 S State Road 7
Plantation, FL 33317
Phone (305) 228-6200

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551830400000",
    "number": "1295248086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 W 17TH ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330102415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 BIRD RD STE 539",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758100",
            "telephone_number": "305-228-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN DE CASTRO-QUIROS, M.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-15",
        "last_updated": "2019-03-06",
        "status": "A",
        "authorized_official_last_name": "DE CASTRO-QUIROS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "AMBR",
        "authorized_official_telephone_number": "305-228-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME133996",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 6, 2019; 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.