Individual provider Active NPI

Maria Gabriela Ale-Castro, MD

  • Infectious Disease Physician
  • Miami Shores, FL
National Provider Identifier
1295747772
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME88601 Issued in FL
Practice address
9111 Park Dr
Miami Shores, FL 33138-3159
Phone
(305) 756-6110
Fax
(305) 759-1255
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME88601 FL Primary

Addresses

Primary practice location

9111 Park Dr
Miami Shores, FL 33138-3159

Mailing address

9111 Park Dr
Miami Shores, FL 33138-3159
Phone (305) 756-6110

Other identifiers 1

IdentifierTypeStateIssuer
272478200MedicaidFL

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
I20040920000228 FL Practitioner - Infectious Disease 2163490079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vilmed Inc 3 clinicians

Practice addresses (Care Compare)

1859 Van Buren St
Hollywood, FL 33020-5127
Phone (954) 764-8900

20900 Biscayne Blvd
Aventura, FL 33180-1407
Phone (305) 682-7124

9111 Park Dr
Miami Shores, FL 33138-3159
Phone (305) 756-6110

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • North Shore Medical Center Hospital, Miami, FL, CCN 100029
  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131
  • Hialeah Hospital Hospital, Hialeah, FL, CCN 100053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88601FLMDInfectious Disease Physician

Practice roles (1 of 3)

OrganizationSpecialtyStatusNew patients
Vilmed Inc Infectious Disease CurrentSince May 1, 2008 Accepting new patients

Locations

9111 Park Dr
Miami Shores, FL 33138
Phone (305) 756-6110

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

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.

Hospital & facility affiliations 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1295747772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9111 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-756-6110",
            "fax_number": "305-759-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9111 PARK DR",
            "city": "MIAMI SHORES",
            "state": "FL",
            "postal_code": "331383159",
            "telephone_number": "305-756-6110",
            "fax_number": "305-759-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALE-CASTRO",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME88601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272478200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Shores, FL

Sources for this page

Verify at the official NPI Registry.