Jorge Enrique Castillo Molina

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN1281 Issued in FL

Practice address

7555 W Waters Ave
Tampa, FL 33615-1511

Phone

(855) 226-6633

NPI assigned

Mar 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Best Value Healthcare LLCGroup PAC ID 2668772419, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (2 of 4)

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Best Value Healthcare LLC

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1790152015

  FL, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Best Value Healthcare LLC

  • Internal Medicine Physician
  • North Fort Myers, FL
  • NPI 1619542446
  NPD (past)

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1306474010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151511",
            "telephone_number": "855-226-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151511",
            "telephone_number": "855-226-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9307 Pine Vlg",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503983",
            "country_code": "US",
            "telephone_number": "210-300-7541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASTILLO MOLINA",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "15137-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN1281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antonio Ortelio Castellvi, M.D,
• Guillermo Orestes Castellvi, MD
• Jorge I Castellvi, M.D.
• Aleishkadalys Castillo Agosto
• Yanet T Castillo Lorente
• Lianis Loanys Castillo Olazabal
• Ana Lucia Castillo Perez
• Yanet Castillo Rodriguez, APRN
• Madelen Castillo Santaelena, RBT
• Ivis Griselis Castillo Vazquez, RN

• All providers in Tampa, FL
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.